Paul Dorian Presentation ~ The Data EffectPresentation Transcript
Searching for metaphors: Naviga4on in turbulent waters Paul Dorian Director , Division of Cardiology St Michael’s Hospital ,University of Toronto Professor, Departments of Medicine and Pharmacology, University of Toronto
In theory, theory is as good as practice. In practice, it isn’t Yogi Berra
Alan Trive;, execu4ve director of Triathlon Canada, is calling physiologists and doctors involved in Paula Findlay’s care to determine how her case of iron deﬁciency could have been missed before she competed at the London Olympic Games. The revela4on about Findlay’s iron deﬁciency came this week aJer she blogged that low iron levels likely had a “huge impact” on her disastrous last-‐place ﬁnish in London. She discovered the problem only last week aJer staﬀ at her new training base in Guelph, Ont., ordered the tests because she had been feeling sluggish. Findlay says she saw the May results for the ﬁrst 4me this week. “It’s pre;y clear that they dropped a lot,” she said. “They were lower than they’d ever been in May. And then in August, they were lower.” Toronto Globe and Mail Sept 12, 2012 Hayley Mick
PHeMI: Personal Health Management Ini4a4ve
Priniciples from the trenches • Prefer simplicity to complexity unless complexity is totally invisible • What pts want is a doctor who looks them in the eye and listens, and does not look to a screen • Very smart people have spent a decade and hundreds of millions of $ to design systems of informa4on entry, retrieval, management, processing. Why have they failed to ﬁnd an overall sa4sfactory solu4on?
It’s all about the user interface Most important : simplicity, transparency and usability Less important: Complexity and comprehensiveness Design from need , ie perceived need , not from design poten4al .