Healthdesignby.us
Joyce Lee, MD, MPH, Doctor as Designer
Twitter: @healthbyus @joyclee
#makehealth #DplusB
Death by Bad Design?
I/we have no ties to any
pharmaceutical companies
#subliminalmessage
#shamelessplug
Follow me on Twitter
@joyclee
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“Learning to design
is learning to see”
-Oliver Reichenstein
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HealthDesignBy.Us
Twitter: @healthbyus
FB: healthdesignby.us
#makehealth
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Karen Farris
Janice Stumpf
Cesar Alaniz
Mike Dorsch
D + B #makehealth #DplusB
Patient-centered
Participatory Design
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MD to Patient
Passive
Solitary
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Patient to Patient
Active
Collaborative
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Come to the
We #makehealth Fest
August 2015!
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#design #suckiness
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“B”
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The needle
is opposite
to the cap,
which is
counter-
intuitive
Epipen Design Flaw
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Life or
death is
stressful!
Don’t make
me think!
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>15,000
Unintentional injections
from Epi-Pens in the US
between 1994-2007
There were
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It’s an
awkward
size, &
doesn’t fit
in your
pockets
Design Flaw
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Whoa the
cap &
needle are
at the
same end!
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It
tells you
what to
do!
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It’s thinner
and
shorter &
fits in your
pocket!
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“Bad Design Causes Injury”
“Good Design Saves Lives!”
“Aesthetics Do Matter
for Health”
Design Insights
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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
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
#makehealth #DplusB
Acetaminophen
(Tylenol)
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The most common cause of
Acute Liver Failure in the US
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Ingredient in over 600
prescription and
non-prescription medications
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The most frequently used
medication in the US:
23% of individuals using
the drug weekly
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Unintentional overdoses
account for 15% of cases
of acute liver failure
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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
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44% and 48% of adults
incorrectly measured children
and infant liquid doses,
respectively.
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85% of 16-23 year olds are
unable to interpret
labeled dosage
information correctly
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One-third 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.
APAP???
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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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Empathy PrototypeDefine Ideate Test
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Empathy
Understand a problem
before solving it
Define
Patient-defined problem
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Ideate
Collaborative, creative
brainstorming
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Prototype
Sketch, draw, glue, code
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Test
Iterative Feedback from User
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Ground Rules
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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!
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The rest of the team
RESPECT THE EXPERTS
Respect privacy
Listen
Have fun!
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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
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YOU are the center
of the healthcare universe
Experts/Designers
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Experts/Designers
We want you to talk about YOUR
experience
We want to design for YOU
Don’t generalize to all patients
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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
#makehealth #DplusB
Empathy PrototypeDefine 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!
#makehealth #DplusB
Prototype
Prototype, test and refine
and be ready to present
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Test
Iterative Feedback from User
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https://www.pillpack.com/
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http://goo.gl/Tt9C71
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http://buff.ly/1A2KbKG
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http://goo.gl/ALzA7G
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The Ballot
http://goo.gl/ALzA7G
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The Report Card
http://goo.gl/Tt9C71
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Mortgage Forms
http://goo.gl/jLpAoH
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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
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By B the Designer
#makehealth #DplusB
By B the Designer

Death by Bad Design