Curtin University is a trademark of Curtin University of TechnologyCRICOS Provider Code 00301J

Agile, intuitive, creative and cost effective solutions

Lean MedicineMoyez JiwaProf. Health Innovation

Aware Accepted Applicable Ability Acted on Agreed to Adhered to

80% x 80% x 80% x 80% x 80% x 80% x 80% = 21%

Glasziou P, Haynes B: The paths from research to improved health outcomes.ACP J Club 2005, 142:A8-10

Glasziou P, Haynes B

From http://tinyurl.com/l2scawv

50 years1867

6 Months1846

Anaesthesia = painless surgery

Asepsis =

Infection free surgery

-Lancet

From http://tinyurl.com/lh9z4s7

General practitioners recognised only 66.7% of skin malignancies

“Learning these techniques took considerable time and was completed by only 62% of the trial doctors.”

$192K

Crossover trial of dermoscopy and short-term digital monitoring for the management of skin lesions in general practice

2009

B J Dermatology 2009

Curtin University is a trademark of Curtin University of TechnologyCRICOS Provider Code 00301J

From http://tinyurl.com/lvp9ggz

From http://tinyurl.com/lkoyu8x

From http://tinyurl.com/nxey9j6

From http://tinyurl.com/nhr5e99

British Journal of General Practice. 2004: 52

From http://tinyurl.com/newayow

During the month of July 2009: 300,000 had influenza in the UK.

Epidemiology Research International doi:10.1155/2011/381597

2009

580,000 GP consultations ‘influenza-like’ illness.

Half of UK population had swine flu during pandemicSero-Prevalence and Incidence of A/H1N1 2009 Influenza Infection in Scotland in Winter 2009–2010. PLoS ONE 6(6): e20358. doi:10.1371/journal.pone.0020358

From: http://tinyurl.com/k6oblbr

2.7 Million calls

1 million prescriptions for Tamiflu

From: http://tinyurl.com/lgzcemh

From http://tinyurl.com/mc6sc5j

From http://tinyurl.com/l5ko5m7

J Med Internet Res 2013;15(3):e64

From http://tinyurl.com/qhtsscs

From http://tinyurl.com/lqhg3zj

From: Freedigitalphotos.net

Mobile

From: Freedigitalphotos.net

Testophilia

From: Freedigitalphotos.net

From: Freedigitalphotos.net

Overload

From http://tinyurl.com/lh9z4s7

Want it now!

“No evidence that the MoleMate system improved appropriateness of referral.”

BMJ. 2012 Jul 4;345:e4110. doi: 10.1136/bmj.e4110

The novel diagnostic technology less accurate than best practice…. false reassurance.

£304,487

2012

From: http://tinyurl.com/mnoh8z8

Curtin University is a trademark of Curtin University of TechnologyCRICOS Provider Code 00301J

Agile, intuitive, creative , cost effective solutions

Leanmedicine.co