Slides from my talk on 16Jan at DIA PV meeting. Apologies if some don't make sense - they are written to accompany my talking and I haven't had time to revise them to stand on their own. If you want to know about any points I was making please drop me a line.

1. “All progress depends on the unreasonable man”
Why A Lack of Vision Will Keep Us from Using
Social Media to Improve Safety
Michael A. Ibara

2. …chronicle your inaugural experience so
your friends and family can follow your
adventures on Twitter, Facebook,
Instagram and Pinterest. The Social
Media Butler will post on all of your
accounts so you don’t have to fumble for
your phone to catch that perfect
Facebook profile picture!”

3. Disclaimer
Pfizer supports and funded ASTER and continues
to invest in the concepts and goals involved in
this work.
During this talk, any opinions, suggestions or
crazy statements are entirely my own.

4. Enough time has passed since the first introduction of new ideas based on
social media for anyone who takes the time to see that these new concepts
present fundamental challenges to our current paradigm of safety. But social
media is a symptom, not a cause, of what's wrong with safety today. The
digitization of healthcare data combined with the internet creates scenarios
unimaginable 10 years ago. And yet, we continue to try and shoehorn these
new sources of data and new business models into concepts that are over 20
years old.
No amount of re-interpreting the current regulations or messing around the
edges of our current systems will fix this problem. We need to recognize that
we are being given a chance to make history, or fight against it. The
implications are scary but necessary: we need to rethink the regulations; we
need to envision new ways to collect data; we need to move away from an
assembly-line model and ivory tower mentality toward an interactive,
transparent approach. And we are the ones to do this - we have the
accumulated knowledge of safety and the expertise and wisdom to address it.
If we do not rise to the challenges and opportunities presented to us by this
epochal change in healthcare, the current pharma safety industry will go down
in history as 'those other guys'.

5. 2007
• FDA Sentinel Hearing
• AMIA Annual Meeting
2008
• HIMSS Annual Meeting
• DIA Annual Meeting

6. ASTER
2009
• HIMSS, DIA, AMIA
• EU
• Radio
• etc.

7. 2010
• Pharma
• Trade Groups
• Vendors
• Academics

8. 2011
• Branching out

9. 2012
• The Year of Social Media
• Diminishing returns in pharma...

10. “The reasonable man adapts himself to the
world; the unreasonable one persists in
trying to adapt the world to himself.
Therefore all progress depends on the
unreasonable man.”
George Bernard Shaw (1856 - 1950), Man and Superman
(1903) "Maxims for Revolutionists"

11. TRANS- MARINE
ACTION LAW
COSTS
PARADIGM
SHIFT DOGMA

12. TRANS-
ACTION
COSTS
If the cost of finding, capturing, reporting
adverse events go toward zero, new more
efficient business models will emerge.

13. “…describes how the internet is lowering
Coasean transaction costs for many
exchanges, to the point where ‘products’
that were previously impossible due to
the cost of organisation can emerge.”
WILKOX Blog Oct 23, 2008
http://wilkox.wordpress.com/2008/10/23/great-insights-about-the-internet-and-
the-coase-theorem-in-this-weeks-econtalk/

14. A “Paradigm Shift” is a technical term coined
by Thomas Kuhn in The Structure of
Scientific Revolutions
PARADIGM
SHIFT

15. What chemists took from Dalton was not new
experimental laws but a new way of practicing chemistry
(he himself called it the 'new system of chemical
philosophy'), and this proved so rapidly fruitful that only a
few of the older chemists in France and Britain were able
to resist it.
Thomas S. Kuhn
The Structure of Scientific Revolutions (1962), p. 133.

16. WE'RE USING MARITIME LAW MARINE
TO DICTATE AIRPLANE USE LAW
Why isn't maritime law sufficient for
aviation?
Well for one thing… there's another
dimension"

17. Dogma is the official system of belief or doctrine held by
a religion, or a particular group or organization.[1] It serves as part
of the primary basis of an ideology or belief system, and it cannot
be changed or discarded without affecting the very
system's paradigm, or the ideology itself. They can refer to
acceptable opinions of philosophers or philosophical schools,
public decrees, or issued decisions of political authorities.[2]
By Bishop Paul Sloan
DOGMA

18. What does it mean to have 4 elements a
social media world…?
Why doesn’t intention to report factor in as
a way to improve quality of reports?
Why shouldn’t we collect a very large
number of events but weight them
differently?
DOGMA

19. Lack of understanding of the new
technologies..
…Lack of ability to see things in a new
paradigm…
…Shoehorning today’s issues into out of
date regs…
…And Dogma…
…prevents us from making progress…

20. “The reasonable man adapts himself to the
world; the unreasonable one persists in
trying to adapt the world to himself.
Therefore all progress depends on the
unreasonable man.”
George Bernard Shaw (1856 - 1950), Man and Superman
(1903) "Maxims for Revolutionists"

21. We need a vision because the path is not a
theory… because the path is not
straight line and there are so many obstacles
a straight line and there are so many
in our way itour way it won't makego forward
obstacles in won't make sense to sense to
and take onand take on these problems
go forward these problems unless we have
a vision of have a vision of where we could
unless we where we could end up
end up

22. We need to rethink the regulations; we need
to envision new ways to collect data; we
need to move away from an assembly-line
model and ivory tower mentality toward an
interactive, transparent approach.

23. Why?

24. “…all progress depends on the unreasonable
man.”
George Bernard Shaw (1856 - 1950), Man and Superman
(1903) "Maxims for Revolutionists"

25. I’m looking for a few unreasonable men…
Thank You!