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Joyce Lee, MD, MPH, Doctor as Designer
Twitter: @joyclee @healthbyus @Ross_DnB
#makehealth #DplusB
Death by Bad Design?
Thanks @Ross_DnB for collaborating w/ @healthbyus on this awesome conference!
#makehealth #DplusB
I/we have no ties to any pharmaceutical companies
#subliminalmessage
#shamelessplug Follow me on Twitter
@joyclee
#makehealth #DplusB
HealthDesignBy.Us Twitter: @healthbyus FB: healthdesignby.us
#makehealth #makehealth #DplusB
Karen Farris Janice Stumpf
Cesar Alaniz Mike Dorsch
D + B #makehealth #DplusB
Patient-centered Participatory Design
#makehealth #DplusB
MD to Patient Passive Solitary
#makehealth #DplusB
Patient to Patient Active
Collaborative
#makehealth #DplusB
#makehealth #DplusB
Come to the We #makehealth Fest
August 2015!
“Learning to design is learning to see”
-Oliver Reichenstein
#makehealth #DplusB
#design #suckiness
#makehealth #DplusB
#makehealth #DplusB
“B”
#makehealth #DplusB
The needle
is opposite
to the cap,
which is
counter-
intuitive
Epipen Design Flaw
#makehealth #DplusB
Life or
death is
stressful!
Don’t make
me think!
#makehealth #DplusB
>15,000 Unintentional injections from Epi-Pens in the US
between 1994-2007
There were
#makehealth #DplusB
It’s an awkward
size, &
doesn’t fit in your
pockets
Design Flaw
#makehealth #DplusB
#makehealth #DplusB
Whoa the
cap &
needle are
at the
same end!
#makehealth #DplusB
It
tells you
what to
do!
#makehealth #DplusB
It’s thinner
and
shorter &
fits in your
pocket!
#makehealth #DplusB
“Bad Design Causes Injury”
“Good Design Saves Lives!”
“Aesthetics Do Matter for Health”
Design Insights
#makehealth #DplusB
Sicherer, 2011
“patients often forget [the device], allow it to expire”
“Children had only used their EpiPen device in 29% of recurrent anaphylaxis reactions. This is perhaps unsurprising because a fear of needles/injections is common”
“patients frequently do not understand how and when to use [the epi-pen].”
Blaming the Patient
#makehealth #DplusB
#makehealth #DplusB
Patient problems are really
design problems
Joyce Lee, MD Medical Designer
#makehealth #DplusB
Fix the design, and it’s no longer the
patient’s problem
Joyce Lee, MD Medical Designer
#makehealth #DplusB
#makehealth #DplusB
The Pediatric Resident Brain
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Why is this part of the bread and butter
of medical training?
Acetaminophen (Tylenol)
#makehealth #DplusB
It’s the most frequently used
medication in the US
23% of individuals use the drug weekly
#makehealth #DplusB
Acetaminophen (Tylenol) Toxicity
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The most common cause of Acute Liver Failure in the US
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Unintentional overdoses account for 15% of cases
of Acute Liver Failure
#makehealth #DplusB
#makehealth #DplusB Propublica: Use Only as Directed
http://bit.ly/1MlKd6X
Not just injury but death
Who is at risk?
Kids: teething, fever, cold & flu Younger women: menstrual, migraine,
muscle pain Pts w/ chronic pain: high doses & multiple
acetaminophen-containing meds Alcoholics: lower threshold for toxicity
#makehealth #DplusB
Why is this a #design problem?
#makehealth #DplusB
Acetaminophen is an ingredient in over 600
prescription and non-prescription medications
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#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
85% of 16-23 year olds are unable to interpret labeled
dosage information correctly
#makehealth #DplusB
Close to half of adults incorrectly measure
children and infant liquid acetaminophen doses
#makehealth #DplusB
1/3 of individuals are either unsure of the maximum dose or
unsure if a maximum dose exists
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Just 35% of surveyed adults are aware of the
potential for liver toxicity
#makehealth #DplusB
#makehealth #DplusB
Individuals may not know that Prescription Painkillers also
contain Acetaminophen
APAP Another name for Acetaminophen
#confusing
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#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
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Human-Centered Design Thinking
User-Centered Problem Solving
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Patient-Centered Design Thinking
Participatory Problem Solving
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#makehealth #DplusB
Empathy Prototype Define Ideate Test
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Empathy Open ended questions
(Who? What? When? Where? How? Why?) Be quiet and listen
Encourage expert to talk more Dive Deeper
Explode out/record problems Assign a scribe!
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Define User-defined problem
Of the problems identified, narrow to one: “How might we…”
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Ideate Explode out/record as many ideas
as possible (50+) Be visual
Build on the ideas of others Wild ideas!
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Prototype Prototype, test and refine and be ready to present
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Test Iterative Feedback from User
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Inspiration
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https://www.pillpack.com/ #makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
#makehealth #DplusB
http://goo.gl/Tt9C71
#makehealth #DplusB
http://buff.ly/1A2KbKG
#makehealth #DplusB
#makehealth #DplusB
http://goo.gl/ALzA7G #makehealth #DplusB
The Ballot
http://goo.gl/ALzA7G #makehealth #DplusB
The Report Card
http://goo.gl/Tt9C71 #makehealth #DplusB
Mortgage Forms
http://goo.gl/jLpAoH
#makehealth #DplusB
US Income Tax Form Before
http://goo.gl/GtKEfC #makehealth #DplusB
US Income Tax Form After
http://goo.gl/GtKEfC #makehealth #DplusB
Medical Records
http://goo.gl/vdTPTF #makehealth #DplusB
#makehealth #DplusB
By B the Designer
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By B the Designer
#makehealth #DplusB
Let’s design! We #makehealth!