AI in healthcare is just like driving a car…
The framing of the use and value of artificial intelligence in healthcare is often polarised. Descriptions range from tools that enable and support clinical decision making to transformational technologies akin to medical artificial general intelligence. For clinicians this increases the challenge in evaluating and adopting new tools. ...
23. Noise factors vs. control factors
On the latest Circuit Breaker podcast, Bob and Greg talked about causal structures. This is when you’re trying to improve a system and, in order to get the effect you want, you first try to understand the mechanism of how the system works. At 9:00 Bob gave an example of making dish soap: “Some people put a fragrance into a dish soap. B...
22. Design systems, modularity and interdependence
This post on LinkedIn got me thinking: “If organisations want to move away from B-grade app experiences, they need to recognise Dev and Design are two distinctly different skill sets. Both require an amount of time to master. Therefore pointing a Dev to design system won’t result in consumer grade app experiences, more likely nice comp...
21. Prototyping to learn
The latest Circuit Breaker podcast with Bob and Greg goes into incredible depth on "Prototyping to Learn". When Bob first told me about his approach to prototyping, I balked. The idea of building out multiple versions of something seemed wasteful, like going backwards or sideways instead of forwards. I didn't want to hear it. After a l...
20. Framing
Over the last few months I've worked with teams to help them adapt Shape Up to their specific context. Talking to a wider variety of teams has been eye-opening. It's helped me discover many hidden factors that were present at Basecamp when I first wrote the book. This is now leading to a whole new iteration of the process and steps tha...
Attempt 1& 2 - Connect with the community
During lockdown, many were visiting my neighbourhood park. There are many who might be suffering in silence at home, I wanted to reach out to them. There isn't a community facebook, nor a place where lonely people go? So how would I find them? I created flyers and decided to drop them off at mailbox, but so many wrote 'No junk mail' an...
The gift from my 88 year old friend
During covid lockdown, many have experienced isolation. From those living alone, to those missing their family members in a different suburb, a different state, or even those locked up in nursing and institutional care. I thought if I want to find out how to help more senior people, at least I should start doing something about it. So ...
Digital health needs to embrace clinical complexity
In online discussions around digital clinical systems there are some evergreen positions that have recently resurfaced... Why can't my EPR be just like my Apple/Google/Other product. These "just work" and don't need to be taught to users... Any clinical system that needs users to be trained is too complex and shouldn't be used... Whils...
User Experiences informing Digital Governance
Many NHS organisations, from NHS England to provider organisations, use patient stories to help drive improvement. These are described as: personal accounts of healthcare experiences, shared in a patient's own words These stories can be positive, negative or mixed. Used well, patient stories allow staff to better • learn about real lif...
19. Two kinds of usability
A reader asked on Twitter: “Any recommendations on how to combine Shape Up and usability testing? When is the good timing for it? Should it be included in the cycle? Who should take responsibility for it?” To answer this, I first divide usability problems into two kinds: 1. Perceptual: "They couldn't figure out what to do next", "they ...
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