Posted by Plish on December 2, 2014
Some RSNA attendees listen to presentations by Radiologists, Researchers and other Physicians who are using 3d Printing in their practices and research
Today was my 3D Printing day at RSNA. Spent the morning listening to some amazing work being done (Chaired by Dr. Frank Rybicki), and the afternoon taking in the rest of the show.
First were presentations covering how flows of blood and other substances through blood vessels, could be confirmed using models.
Dr. Tam shared how 3d printing could be used to plan for, and create parts for, medical procedures. He uses printed models in approximately 5% of his cases right now. He also did an enlightening study that showed that when presented with 3d models, the majority of physicians in the study changed their surgical approach. A model is indeed worth a 1000 pictures (or more!)
Dr’s Green and Mahani shared how 3d printing was used to save the life of a child whose bronchus would collapse and block airflow. The video about this is below:
There is some amazing work at the Advanced Tissue Biofabrication Center at the Medical University of South Carolina. They are pushing the envelope printing living tissue. You can check out a Reuters Tech Video here.
Future directions for 3d printing in healthcare were summarized nicely by this slide:
Number one is very provocative, and I agree with it. While Radiologists treated the creation of 3d models as a natural extension of reading 2d images, the work required to create 3d models can be done in conjunction with intermediary scientists and engineers, so that each discipline can play to its strengths. In the future I can see a role for “Post Processing Technicians.” These folks would be integral members of the Radiologic team whose purpose is to crunch imaging data into 3d and beyond.
I would include material science advances as an influencer in the future of 3d printing adoption.
Also, while indirectly included in the above list, cost reimbursement and FDA regulations are major players as the field matures and the technology gets adopted.
After the presentations, I visited with 3dSystems, Stratasys and Materialise , These companies have made, and are making, significant investments in medical uses of their technologies. This can only accelerate the adoption of 3d printing.
I left today excited and inspired by the work of these doctors and scientists.
Would love to hear your thoughts on the subject!
Posted in 3D Printing, Biology, Disruptive Innovation, Healthcare, innovation, Medical Devices, Research | Tagged: 3d printing, 3dsystems, Dr Frank Rybicki, healthcare, healthcare innovation, innovation, interventional radiology, materialise, medical devices, personalized healthcare, printing human parts, printing living tissue, radiology, RSNA, RSNA 2014, RSNA14, Stratasys | Leave a Comment »
Posted by Plish on October 14, 2014
This video is the definition of delighting customers.
It’s no secret that delighting customers is extremely profitable. But it can also have another side effect. It can create a better world.
Enter Dr. Carey Andrew-Jaja. This “Singing Doctor” has sung to more than 8000 babies as they entered the world. His expression of joy, at a time of joy, brings joy to healthcare practitioners and patients alike.
Says Dr. Andrew-Jaja, :”Each of us has to find a way — in medicine and other walks of life — to communicate a cheerfulness to those we work for and with, and it keeps everybody happy.”
Or, as Disney says: “Every leader is telling a story about what they value.”
It’s the commitment to a value that empowers someone to stand firm in those behaviors that may elicit judgment. This Doctor values the joy of a new life being born, and thus creates an environment of joy, anticipation, and excitement through song. Everyone present can’t help but be touched. In fact, people even make musical requests ahead of time!
What is truly amazing about this, is that if someone were tasked with designing a more delightful birthing experience there would no doubt be suggestions around the check-in and discharge processes, the use of the best drugs, pleasant and calming aromas and colors in the patient rooms, etc.. Perhaps someone would suggest music in the background. But, few would suggest that the doctor lead everyone present at the birth, in a chorus of “Happy Birthday!”
Delight is a phenomenon of the Now. It is about presence. If you want people to experience delight, delight must be present. Presence is best mediated through personal interaction. I’m here, with you. You’re here, with me. We are together. This is what we are experiencing! This is ours, this is yours. Own it. Revel in it. Be free to experience it.
Research shows that delighting customers starts with putting employees first. By doing this, delight is made present in employees. This pool of delight can then be freely experienced by others.
Remember this video.
Think of what it represents.
Joy. Courage. Family. Life. Love.
This is delight!
Now, make that present in your day.
Posted in Authenticity, Customer Focus, Design, Experience, Healthcare, Service Design, The Human Person | Tagged: customer experience, Customer Focus, delight, delighting the customer, Design, designing healthcare, DIsney, Dr. Carey Andrew-Jaja, healthcare, human authenticity, walt disney | Leave a Comment »
Posted by Plish on May 17, 2014
There’s a Taco Bell that I’ve been stopping by for a quick taco or two. I would stop there to get medical tests if I could.
You see, every time I’ve visited and someone at the register needed to go and help on the food assembly line, that person has done something amazing.
Well, at least it’s (unfortunately) amazing by healthcare standards.
The person washes her hands.
I’m not talking the typical ‘bathroom’ wash that you see most people do. You’ve seen it, it goes like this:
- Turn on the water
- Use a little soap if around
- Wash for about 5 seconds, maybe 10
- Shut the water off (if it’s not automatic)
- Shake the hands and grab a paper towel to dry(maybe)
In fact, researchers have found that only about 5 percent of people wash their hands properly.
But, these folks at this Taco Bell are amazing. They wash the way hands are supposed to be washed, which I must say, I usually don’t see consistently happening in healthcare facilities. (I’ve even seen healthcare workers skip the easier anti-microbial hand sanitizer squirt!)
The Taco Bell folks do the following:
I actually counted to see how long these people wash and rinse and they’re following best practices. It also doesn’t matter if they’re busy or slow. I’ve seen workers take the time to wash (and follow with an antimicrobial squirt) no matter how crazy the atmosphere or how long the lines.
This is a TACO BELL people!
Customers are there for their food and they want it quick. Employees could easily pull a line that’s often heard in healthcare hand-washing studies: “I don’t have time to wash.” But, these conscientious workers have made it a part of their culture to make sure they wash their hands.
What’s even more important is that if employees are taking the time to wash, they certainly are doing other things right as well.
Congrats Taco Bell on Grand! Keep up the good work!
For all the healthcare facilities out there, it might be worth doing some self-examination and asking, “Why can Taco Bell do it and we can’t?”
If you can’t find the answer, pay Taco Bell a visit and watch.
Posted in Case Studies, Customer Focus, Design, Health Concerns, Healthcare, problem solving | Tagged: Best Practices, changing culture, Customer Focus, Design, doctor's office, doctors, hand washing, hand washing guidelines, healthcare, healthcare workers, hospitals, human behavior, medical, nurses, positive deviance, problem solving, Taco Bell | Leave a Comment »
Posted by Plish on December 21, 2013
On September 25th of this year, after approximately 2 years of soliciting comments from Industry, the FDA released a guidance document entitled “Mobile Medical Applications.” The document defines under what circumstances smartphone apps, and the like, are considered medical devices. The reason that this is important is because if you or I create an app that performs some medical function, (e.g. it turns a phone into an electrocardiogram that records and sends irregular heartbeats to the doc,) it becomes a medical device and as such, regulations require that you register yourself with the FDA as a medical device manufacturer and become compliant to the regulations. You may even have to submit a pre-market notification to the FDA for the app you choose to commercialize. Ignore these regulations and you could be fined and even thrown in jail.
By issuing this document, the FDA acknowledged that it’s in the 21st century and that medicine is becoming more and more mobile. It’s also acknowledged that the mobile medical industry is only in its infancy, so rather than anticipate what types of apps should be classified as medical devices, it created a framework for determining when an app is a medical device. (The ECG app I mentioned is but one example.) All in all, whereas most new regulations often can stifle innovation, this document isn’t like that. It actually can further innovation.
This is because one particular group of developers (who also happen to be the app users) are in a privileged place – they are not considered medical device manufacturers and hence not required to register with the FDA. Who are these folks?
Licensed medical practitioners (physicians, dentists, optometrists, etc.).
These professionals are able to innovate in a way that other app developers are not…with one caveat. These doctors can only use their apps in the context of their own practices (or keep them within their group.) If a doctor chooses to commercialize the app, she then becomes a medical device manufacturer and all the regulations kick in.
Still, even with this caveat, physicians are in a very good place, entrepreneurially speaking.
Think about it.
By exempting physicians who create and use mobile medical apps, physicians can:
- Receive real-time feedback on the suitability of the app for its purpose and modify/optimize it as needed.
- As a result of number 1, they can ascertain what the potential market for the app may be.
- Buzz can be created about the app (both amongst patients and doctors) and results can be published if desired.
The above benefits are things that are very hard to come by in the medical device world (for that matter, they’re often difficult to obtain for non-medical products and services!) In addition, they enable physician entrepreneurs to see if a business case can be built around the app. If it can, time and money can be spent on registering with the FDA and becoming regulatorily compliant – in short, a medical device company can be started and the product commercialized. (It’s important to note here that not all mobile medical apps are the same, even if they are regulated. Some are under more stringent regulations than others and require different types of manufacturing systems.)
Again, this is an enviable position for physicians to be in. Not too many entrepreneurs in regulated industries are allowed to do what physician entrepreneurs are able to do. It will be interesting to see how many physicians answer the call to create apps that help others, and then build businesses from those apps.
If you’re a physician entrepreneur, or a non-physician entrepreneur, with a mobile medical app, I’d love to hear your story. If you’re confused by the regulations, I’m here to help.
Posted in culture of innovation, Design, Entrepreneurship 2.0, Healthcare, innovation, Medical Devices, Quality Systems, Start-Ups | Tagged: app developer, apps, Design, FDA, healthcare, innovation, medicine, mobile healthcare, mobile medical apps, physician entrepreneur, regulations, wellness | 4 Comments »
Posted by Plish on March 10, 2013
I was turned on to this video from a friend and wanted to share it with you. An amazing step in the direction of creating a means to test drugs and treatments, without animals, and perhaps some day, with the patient’s own cells. What I find particularly cool is the prospect of linking multiple versions of these together and modelling more complex systems.
Would love to hear your thoughts!
Posted in Biology, Healthcare, innovation, The Future | Tagged: biology, healthcare, innovation, lung-on-a-chip, medication delivery, MIT | Leave a Comment »
Posted by Plish on September 28, 2011
…Communication is two-sided – vital and profound communication makes demands also on those who are to receive it… demands in the sense of concentration, of genuine effort to receive what is being communicated. – Roger Sessions
The Joint Commission says over 70 percent of sentinel events — sentinel events are unexpected outcomes, death or injuries — over 70 percent are due to breakdown in communication, That’s a huge deal. – Sorrel King, Founder of Josie King Foundation
We know that when patients and clinicians communicate well, care is better. But in today’s fast-paced health care system, good communication isn’t always the norm. This campaign reminds us all that effective communication between patients and their health care team is important and that it is possible – even when time is limited. – AHRQ Director Carolyn M. Clancy, M.D.
Communication – real, deep communication- seems difficult enough when two people are healthy and have all the time in the world to share.
Now put those two people in a doctor’s office, make one a doctor and the other sick and communication becomes even more difficult. And, if the quality of communication goes down, the quality of healthcare is not too far behind.
To help keep the level of communication high, the Agency for Healthcare Research and Quality has begun an initiative to foster more effective communication between patients and clinicians. One aspect of the initiative emphasizes the importance of asking questions. People ask all types of questions when buying a cellphone, why not when dealing with their health? The AHRQ provides videos of both patients and clinicians, highlighting the importance of asking questions and being prepared for the doctor visit.
With regards to being prepared for the doc visit, Dr. Oz provides a great one-sheet (it’s pictured at the beginning of this blog entry – click on it to get a copy) that helps women if they think they may have ovarian cancer. What about if you have other problems?
Write the symptoms down- draw pictures showing where it hurts! Make your own list of problems and things to ask.
“The process of drawing is, before all else, the process of putting the visual intelligence into action, the very mechanics of visual thought. Unlike painting and sculpture it is the process by which the artist makes clear to himself, and not to the spectator, what he is doing. It is a soliloquy before it becomes communication. – Michael Ayrton
Ayerton’s quote is very apropos. When we write and draw, we make things clear to ourselves. When things are clear we are able to articulate them better to others, and this improves the quality of communication- that is, if someone is listening.
I know that you believe you understand what you think I said, but I’m not sure you realize that what you heard is not what I meant. – Robert McCloskey
Listening is more than understanding what the other person is saying. Listening, truly listening, affirms the one speaking. When we listen to others, those people feel valued for who they are; it builds trust. It shows that we respect those people, that we value their stories, their dreams, where they’re going and where they’ve been.
With the gift of listening comes the gift of healing. – Catherine de Hueck Doherty
Maybe it’s not that innovative, but it’s what healthcare is all about, isn’t it?
I have an appointment with my orthopedic surgeon tomorrow, the 28th, and while in the shower thought of a couple of things that I hadn’t before with regards to how my leg is healing. I’ve written it all down in my phone so I don’t miss anything in the morning (I wrote this blog on the evening of the 27th). It’s actually a relief not having to expend energy forcing myself to remember what to say tomorrow.
Posted in Design, Healthcare, innovation, Life Stages, The Human Person, Wellness | Tagged: ahrq, communication, designing healthcare, dr. oz, healthcare, innovation, ovarian cancer, patient care | 1 Comment »
Posted by Plish on June 24, 2011
Came across this article about how current measures aren’t addressing wrong site surgeries as much as hoped. So it got me to thinking that perhaps something like the below solution could be used to help minimize these adverse events. The patient’s bar code is scanned and the surgery team is presented with the preferred orientation of the patient for that surgery, and the location of the surgery on the patient. Three people, including the surgeon, have to cross-check the patient with the information presented. When all check boxes are filled, the surgery can proceed and hopefully at the proper site.
Suggestions and thoughts are welcome!!
Click for Full Size
Posted in Customer Focus, Design, Health Concerns, Healthcare, Information Visualization, innovation, software, User Interface | Tagged: adverse events, Design, healthcare, innovation, ipad, iPhone, surgery, Tablet PC, Technology, wrong site surgery | Leave a Comment »
Posted by Plish on February 22, 2010
I came across this amazing post over at Christine Kane’s blog.
Sue Ludwig, the founder of the National Association of Neonatal Therapists, enumerates 10 lessons she learned from the patients in the Neonatal Intensive Care Unit (NICU).
Having done research in the NICU myself, so many of the observations resonated personally. What really hit me though is that Sue has hit on important points that should be part of all design projects, not just in the healthcare setting but all designs that impact people.
1. Humans are constantly ‘in process’.
2. Be open to various forms of communication: Experience what is being communicated in multiple ways, not what you’d like to perceive.
3. Environment is important!
4. ~Human touch is essential~
5. Bonding and enjoyment comes from food and social interaction.
6. Make room for the Human Spirit!
7. Comfort/Sleep/Healing – Everyone needs them.
8. Fragility and Strength are at the core of Human Beauty and independent of the size of the person.
9. Great insights like those above come from being immersed in your world, from observing and reflecting on those experiences, from being in awe of life.
10. If you forget the first eight, remember and live number nine and the rest will come to you.
Posted in Best Practices, creativity, Customer Focus, Design, idea generation, innovation, Life Stages, Nature of Creativity, problem solving, The Human Person, The Senses | Tagged: creative problem solving, healthcare, healthcare innovation, innovation, innovative design, NICU | 2 Comments »