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Death by Bad Design

Slides for our healthdesignby.us workshop with the Ross Design and Business Club!
http://tylenolhacking.splashthat.com/
#DplusB @Ross_DnB @healthbyus #makehealth

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Death by Bad Design

  1. 1. Healthdesignby.us Joyce Lee, MD, MPH, Doctor as Designer Twitter: @healthbyus @joyclee #makehealth #DplusB Death by Bad Design?
  2. 2. I/we have no ties to any pharmaceutical companies
  3. 3. #subliminalmessage #shamelessplug Follow me on Twitter @joyclee #makehealth #DplusB
  4. 4. “Learning to design is learning to see” -Oliver Reichenstein #makehealth #DplusB
  5. 5. HealthDesignBy.Us Twitter: @healthbyus FB: healthdesignby.us #makehealth #makehealth #DplusB
  6. 6. Karen Farris Janice Stumpf Cesar Alaniz Mike Dorsch D + B #makehealth #DplusB
  7. 7. Patient-centered Participatory Design #makehealth #DplusB
  8. 8. MD to Patient Passive Solitary #makehealth #DplusB
  9. 9. Patient to Patient Active Collaborative #makehealth #DplusB
  10. 10. #makehealth #DplusB
  11. 11. Come to the We #makehealth Fest August 2015! #makehealth #DplusB
  12. 12. #design #suckiness #makehealth #DplusB
  13. 13. #makehealth #DplusB
  14. 14. “B” #makehealth #DplusB
  15. 15. The needle is opposite to the cap, which is counter- intuitive Epipen Design Flaw #makehealth #DplusB
  16. 16. Life or death is stressful! Don’t make me think! #makehealth #DplusB
  17. 17. >15,000 Unintentional injections from Epi-Pens in the US between 1994-2007 There were #makehealth #DplusB
  18. 18. It’s an awkward size, & doesn’t fit in your pockets Design Flaw #makehealth #DplusB
  19. 19. #makehealth #DplusB
  20. 20. #makehealth #DplusB
  21. 21. Whoa the cap & needle are at the same end! #makehealth #DplusB
  22. 22. It tells you what to do! #makehealth #DplusB
  23. 23. It’s thinner and shorter & fits in your pocket! #makehealth #DplusB
  24. 24. “Bad Design Causes Injury” “Good Design Saves Lives!” “Aesthetics Do Matter for Health” Design Insights #makehealth #DplusB
  25. 25. 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].” #makehealth #DplusB
  26. 26. 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
  27. 27. #makehealth #DplusB
  28. 28. Patient problems are really design problems Joyce Lee, MD Medical Designer #makehealth #DplusB
  29. 29. Fix the design, and it’s no longer the patient’s problem Joyce Lee, MD Medical Designer #makehealth #DplusB
  30. 30. #makehealth #DplusB
  31. 31. #makehealth #DplusB
  32. 32. Acetaminophen (Tylenol) #makehealth #DplusB
  33. 33. The most common cause of Acute Liver Failure in the US #makehealth #DplusB
  34. 34. Ingredient in over 600 prescription and non-prescription medications #makehealth #DplusB
  35. 35. #makehealth #DplusB
  36. 36. #makehealth #DplusB
  37. 37. #makehealth #DplusB
  38. 38. #makehealth #DplusB
  39. 39. #makehealth #DplusB
  40. 40. #makehealth #DplusB
  41. 41. The most frequently used medication in the US: 23% of individuals using the drug weekly #makehealth #DplusB
  42. 42. Unintentional overdoses account for 15% of cases of acute liver failure #makehealth #DplusB
  43. 43. 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
  44. 44. 44% and 48% of adults incorrectly measured children and infant liquid doses, respectively. #makehealth #DplusB
  45. 45. 85% of 16-23 year olds are unable to interpret labeled dosage information correctly #makehealth #DplusB
  46. 46. One-third are either unsure of the maximum dose or unsure if a maximum dose exists. #makehealth #DplusB
  47. 47. Just 35% of surveyed adults are aware of the potential for liver toxicity.
  48. 48. APAP??? #makehealth #DplusB
  49. 49. #makehealth #DplusB
  50. 50. #makehealth #DplusB
  51. 51. #makehealth #DplusB
  52. 52. #makehealth #DplusB
  53. 53. #makehealth #DplusB
  54. 54. #makehealth #DplusB
  55. 55. #makehealth #DplusB
  56. 56. #makehealth #DplusB
  57. 57. #makehealth #DplusB
  58. 58. #makehealth #DplusB
  59. 59. #makehealth #DplusB
  60. 60. #makehealth #DplusB
  61. 61. Human-Centered Design Thinking User-Centered Problem Solving #makehealth #DplusB
  62. 62. Patient-Centered Design Thinking Participatory Problem Solving #makehealth #DplusB
  63. 63. Empathy PrototypeDefine Ideate Test #makehealth #DplusB
  64. 64. Empathy Understand a problem before solving it
  65. 65. Define Patient-defined problem #makehealth #DplusB
  66. 66. Ideate Collaborative, creative brainstorming #makehealth #DplusB
  67. 67. Prototype Sketch, draw, glue, code #makehealth #DplusB
  68. 68. Test Iterative Feedback from User #makehealth #DplusB
  69. 69. Ground Rules #makehealth #DplusB
  70. 70. Patients/Clients YOU ARE THE EXPERT We are here to serve you If you are uncomfortable, say so Walk away if you need to Have fun! #makehealth #DplusB
  71. 71. The rest of the team RESPECT THE EXPERTS Respect privacy Listen Have fun! #makehealth #DplusB
  72. 72. Defer Judgment One conversation at a time Go for volume Be visual Build on the ideas of others Stay on topic Encourage wild ideas Everyone #makehealth #DplusB
  73. 73. YOU are the center of the healthcare universe Experts/Designers #makehealth #DplusB
  74. 74. Experts/Designers We want you to talk about YOUR experience We want to design for YOU Don’t generalize to all patients #makehealth #DplusB
  75. 75. Everyone Defer Judgment One conversation at a time Go for volume Be visual Build on the ideas of others Stay on topic Have Fun! #makehealth #DplusB
  76. 76. #makehealth #DplusB
  77. 77. Empathy PrototypeDefine Ideate Test #makehealth #DplusB
  78. 78. 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! #makehealth #DplusB
  79. 79. Define User-defined problem Of the problems identified, narrow to one: “How might we…” #makehealth #DplusB
  80. 80. Ideate Explode out/record as many ideas as possible (50+) Be visual Build on the ideas of others Wild ideas! #makehealth #DplusB
  81. 81. Prototype Prototype, test and refine and be ready to present #makehealth #DplusB
  82. 82. Test Iterative Feedback from User #makehealth #DplusB
  83. 83. #makehealth #DplusB
  84. 84. #makehealth #DplusB
  85. 85. https://www.pillpack.com/ #makehealth #DplusB
  86. 86. #makehealth #DplusB
  87. 87. #makehealth #DplusB
  88. 88. #makehealth #DplusB
  89. 89. http://goo.gl/Tt9C71 #makehealth #DplusB
  90. 90. http://buff.ly/1A2KbKG #makehealth #DplusB
  91. 91. #makehealth #DplusB
  92. 92. http://goo.gl/ALzA7G #makehealth #DplusB
  93. 93. The Ballot http://goo.gl/ALzA7G #makehealth #DplusB
  94. 94. The Report Card http://goo.gl/Tt9C71 #makehealth #DplusB
  95. 95. Mortgage Forms http://goo.gl/jLpAoH #makehealth #DplusB
  96. 96. US Income Tax Form Before http://goo.gl/GtKEfC #makehealth #DplusB
  97. 97. US Income Tax Form After http://goo.gl/GtKEfC #makehealth #DplusB
  98. 98. Medical Records http://goo.gl/vdTPTF #makehealth #DplusB
  99. 99. #makehealth #DplusB By B the Designer
  100. 100. #makehealth #DplusB By B the Designer

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    May. 25, 2015

Slides for our healthdesignby.us workshop with the Ross Design and Business Club! http://tylenolhacking.splashthat.com/ #DplusB @Ross_DnB @healthbyus #makehealth

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