what we can learn from amazon for clinical decision support
TRANSCRIPT
Sidra Abid, Karim Keshavjee, Arsalan Karim and Aziz Guergachi
ITCH 2017 Feb 18, 2017Victoria, BC
LINK TO OPEN-ACCESS PAPER:
Abid S, Keshavjee K, Karim A, Guergachi A. What We Can
Learn from Amazon forClinical Decision Support Systems.
Stud Health Technol Inform. 2017;234:1-5.PubMed PMID:
28186006.
Provocations for rethinking CDSS Features from Amazon Clinical Application Barriers to Applying Learnings How we’ll overcome the barriers Conclude
What if electronic medical record (EMR) systems were designed like the World Wide Web?
What if we could improve user experience rapidly because we could see how users were using the software?
What if we could make actionable information available at the point of care instantly using Big Data techniques?
What if we could quickly test whether new ideas will work and make them available into all EMRs immediately?
Can Amazon’s “purchasing decision support” teach us anything about Clinical decision support?
CBC - Complete Blood CountAnemiaLeukemiaThalassemia
$6
X
Xray –Chest PA & LateralCHFPneumoniaLung cancer
$200
CHFCa
Pn
5 Star4 Star3 Star2 Star1 Star
Atorvastatin
Love it. Dropped my LDL like a stone. I can Eat French Fries again!
Worst drug ever. I was in pain all the time. Couldn’t sleep at night.
Let patients provide their ratings on medications!
5 Star4 Star3 Star2 Star1 Star
Omeprazole
It’s fantastic. Solved all my heart burn problems. I can finally sleep all night. Pizza, here I come!
I would highly recommend this. I tried 5 medsBefore trying this one. None of the others worked.
Makes it easy to do something
Read it for freeBuy it nowGet a free sampleGive it as a giftAdd it to your wish list
Prescribe Now
Remind me Later
Print Patient Education
Patient Refuses
Patient is diabetic
Patient should be on ACE inhibitor
Patient Not Candidate
Deprescribe Now
Remind me Later
Print Patient Education
Patient Refuses
Patient is elderly
Patient should NOT be on a benzodiazepine
Lower Dose Now
Deprescribe Now
Remind me Later
Print Patient Education
Patient Refuses
Patient is elderly
Patient should NOT be on a benzodiazepine
Lower Dose Now
Long Acting BAInhaled
Corticosteroid
Short Acting BAOral
CorticosteroidLTRA
Short Acting BA
Most Popular Asthma Treatment Protocols in Canada (by Age/Sex)
This Patient
72% 21% 7%
Analysis of actual experiences with specific medications
Doctors and Hospitals work in silos
Clinic 1
Clinic 2
Clinic 3
Oh no!
What shall we do?
Multi-EMR Structured Data Entry Form: User-Acceptance Testing of a Prototype
1:15-2:45 Spirit C/D
