1.
Healthdesignby.us
Joyce Lee, MD, MPH, Doctor as Designer
Twitter: @healthbyus @joyclee
#makehealth #DplusB
Death by Bad Design?

2.
I/we have no ties to any
pharmaceutical companies

3.
#subliminalmessage
#shamelessplug
Follow me on Twitter
@joyclee
#makehealth #DplusB

4.
“Learning to design
is learning to see”
-Oliver Reichenstein
#makehealth #DplusB

5.
HealthDesignBy.Us
Twitter: @healthbyus
FB: healthdesignby.us
#makehealth
#makehealth #DplusB

6.
Karen Farris
Janice Stumpf
Cesar Alaniz
Mike Dorsch
D + B #makehealth #DplusB

7.
Patient-centered
Participatory Design
#makehealth #DplusB

8.
MD to Patient
Passive
Solitary
#makehealth #DplusB

9.
Patient to Patient
Active
Collaborative
#makehealth #DplusB

10.
#makehealth #DplusB

11.
Come to the
We #makehealth Fest
August 2015!
#makehealth #DplusB

12.
#design #suckiness
#makehealth #DplusB

13.
#makehealth #DplusB

14.
“B”
#makehealth #DplusB

15.
The needle
is opposite
to the cap,
which is
counter-
intuitive
Epipen Design Flaw
#makehealth #DplusB

16.
Life or
death is
stressful!
Don’t make
me think!
#makehealth #DplusB

17.
>15,000
Unintentional injections
from Epi-Pens in the US
between 1994-2007
There were
#makehealth #DplusB

18.
It’s an
awkward
size, &
doesn’t fit
in your
pockets
Design Flaw
#makehealth #DplusB

19.
#makehealth #DplusB

20.
#makehealth #DplusB

21.
Whoa the
cap &
needle are
at the
same end!
#makehealth #DplusB

22.
It
tells you
what to
do!
#makehealth #DplusB

23.
It’s thinner
and
shorter &
fits in your
pocket!
#makehealth #DplusB

24.
“Bad Design Causes Injury”
“Good Design Saves Lives!”
“Aesthetics Do Matter
for Health”
Design Insights
#makehealth #DplusB

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.
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.
#makehealth #DplusB

28.
Patient problems
are really
design problems
Joyce Lee, MD
Medical Designer
#makehealth #DplusB

29.
Fix the design,
and it’s no longer the
patient’s problem
Joyce Lee, MD
Medical Designer
#makehealth #DplusB

30.
#makehealth #DplusB

31.
#makehealth #DplusB

32.
Acetaminophen
(Tylenol)
#makehealth #DplusB

33.
The most common cause of
Acute Liver Failure in the US
#makehealth #DplusB

34.
Ingredient in over 600
prescription and
non-prescription medications
#makehealth #DplusB

35.
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36.
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37.
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38.
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40.
#makehealth #DplusB

41.
The most frequently used
medication in the US:
23% of individuals using
the drug weekly
#makehealth #DplusB

42.
Unintentional overdoses
account for 15% of cases
of acute liver failure
#makehealth #DplusB

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% and 48% of adults
incorrectly measured children
and infant liquid doses,
respectively.
#makehealth #DplusB

45.
85% of 16-23 year olds are
unable to interpret
labeled dosage
information correctly
#makehealth #DplusB

46.
One-third are either
unsure of the maximum
dose or unsure if a
maximum dose exists.
#makehealth #DplusB

47.
Just 35% of surveyed adults
are aware of the potential
for liver toxicity.

48.
APAP???
#makehealth #DplusB

49.
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50.
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51.
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52.
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56.
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57.
#makehealth #DplusB

58.
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59.
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60.
#makehealth #DplusB

61.
Human-Centered
Design Thinking
User-Centered
Problem Solving
#makehealth #DplusB

62.
Patient-Centered
Design Thinking
Participatory
Problem Solving
#makehealth #DplusB

63.
Empathy PrototypeDefine Ideate Test
#makehealth #DplusB

64.
Empathy
Understand a problem
before solving it

65.
Define
Patient-defined problem
#makehealth #DplusB

66.
Ideate
Collaborative, creative
brainstorming
#makehealth #DplusB

67.
Prototype
Sketch, draw, glue, code
#makehealth #DplusB

68.
Test
Iterative Feedback from User
#makehealth #DplusB

69.
Ground Rules
#makehealth #DplusB

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.
The rest of the team
RESPECT THE EXPERTS
Respect privacy
Listen
Have fun!
#makehealth #DplusB

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.
YOU are the center
of the healthcare universe
Experts/Designers
#makehealth #DplusB

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.
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.
#makehealth #DplusB

77.
Empathy PrototypeDefine Ideate Test
#makehealth #DplusB

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.
Define
User-defined problem
Of the problems identified, narrow to one:
“How might we…”
#makehealth #DplusB

80.
Ideate
Explode out/record as many ideas
as possible (50+)
Be visual
Build on the ideas of others
Wild ideas!
#makehealth #DplusB

81.
Prototype
Prototype, test and refine
and be ready to present
#makehealth #DplusB

82.
Test
Iterative Feedback from User
#makehealth #DplusB

83.
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84.
#makehealth #DplusB

85.
https://www.pillpack.com/
#makehealth #DplusB

86.
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87.
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88.
#makehealth #DplusB

89.
http://goo.gl/Tt9C71
#makehealth #DplusB

90.
http://buff.ly/1A2KbKG
#makehealth #DplusB

91.
#makehealth #DplusB

92.
http://goo.gl/ALzA7G
#makehealth #DplusB

93.
The Ballot
http://goo.gl/ALzA7G
#makehealth #DplusB

94.
The Report Card
http://goo.gl/Tt9C71
#makehealth #DplusB

95.
Mortgage Forms
http://goo.gl/jLpAoH
#makehealth #DplusB

96.
US Income Tax Form Before
http://goo.gl/GtKEfC #makehealth #DplusB

97.
US Income Tax Form After
http://goo.gl/GtKEfC #makehealth #DplusB

98.
Medical Records
http://goo.gl/vdTPTF #makehealth #DplusB

99.
#makehealth #DplusB
By B the Designer

100.
#makehealth #DplusB
By B the Designer