compassionate care in a technological world a call to action · technological world a call to...
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Compassionate Care in a
Technological World
A Call to Action
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Compassionate Care in a Technological World: A Call to Action presented at:
The AMS Healthcare 2019 Annual Conference
November 4, 2019, Toronto, Canada
www.amshealthcare.ca
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@BDHodges1
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Without
Compassion
There is No
Healthcare
The Compassionate Care in a
Technological World Initiative
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I’d like to introduce…
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Oh, and our new colleague…
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Emergent technologies will change the
future of health professional work
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THE CHIROPODISTCATHARINE GRAY
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Not enough of this….
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http://www.stmichaelshospital.com/media/detail.php?source=hospital_news/2019/0919
Too much of this
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Images of wounds Smartphone appMeasurements
Risk scoring
Avoid patient discomfort,
contamination andmanual data entry
errors
INPUT PROCESSING OUTPUT OUTCOME
Enter…Image Processing for Wound Care
Company: Swift Medical (Toronto)
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The changes to professional work
will likely run deep… they may
disrupt the very foundations of the
professions
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THE PHYSICIANERIC HORLICK
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http://compassionstl.com/compassionate-nursing-services-shares-top-medication-management-tricks/
It will become unacceptable
not to use AI
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Date of download: 10/23/2019Copyright 2019 American Medical Association.
All Rights Reserved.
From: Potential Liability for Physicians Using Artificial Intelligence
JAMA. Published online October 04, 2019. doi:10.1001/jama.2019.15064
Examples of Potential Legal Outcomes Related to AI Use in Clinical PracticeAI indicates artificial intelligence.
Figure Legend:
W. Nicholson Price et al
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Technologies have introduced distance
between healthcare providers and
patients
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Photo credit AAFPhttps://www.aafp.org/news/practice-professional-issues/20190116ehrstudy.html
“Spending time working on an EHR
poses a direct challenge to
connecting with patients”
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https://www.newyorker.com/magazine/2018/11/12/why-doctors-hate-their-computers
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https://www.freshrn.com/2014/11/24/why-are-nurses-always-on-the-computer/
“Fresh RN: Growing New Nurses”
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We need to acknowledge that humans
and technologies are not opponents
Together, they create an urgent need
for compassion—and only together are
they likely to address that need
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THE INNOVATORHEATHER ROSS
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Health Professional
and Patient Working
Together
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The professions will survive only if we
are versatile, focusing not solely on
knowledge and skills—but on the
overarching purpose of healthcare
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THE EDUCATORCAITLIN GILLAN
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AI has already transformed
radiation therapy planning at
Princess Margaret Cancer Centre
From 3 hours to 4 minutes per patient
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https://hownot2code.com/2016/10/22/killer-bug-therac-25-quick-and-dirty/
A Cautionary Tale:
The Therac 25
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https://jakartaglobe.id/context/airlines-not-allowed-to-use-boeing-737-max-8-jets-to-transport-idul-fitri-travelers
https://pizzainmotion.boardingarea.com/2017/12/20/aviation-geek-dream-boeing-flight-simulator/
A technology
“black box”
requires thoughtful
training
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The technological revolution is a burning
platform to restate and reinvigorate the
commitment to compassionate
healthcare
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THE PATIENT ADVOCATEJUDITH JOHN
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Machine environments evoke fear
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Our Gift of TIME ?
“The super-streamlined
workflow that lies before us,
affecting every aspect of
healthcare as we know it
today in one way or another,
could be used in two very
different ways: to make
things much better or far
worse”
Eric Topol 2019
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We must use the gift of
time to be present
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Computerized algorithms can be
insensitive to cultural and situational
specificities
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https://sunnybrook.ca/education/content/?page=education-conference
The
SCIENTIST
Nikki Woods
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Alexa…
Is Jesus
Dead?
https://tech2.org/india/mom-catches-a-6-year-old-girl-using-alexa-to-solve-a-math-problem-twitter-impressed-its-viral/
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We must
never stop
asking
“Why?”
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“If we do not wish to visualize people
as sources of problems and machines
as sources of solutions, then we need
to consider machines and devices as
cohabitants of this earth”
Ursula Franklin
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In the hands of
TECHNOLOGY
OUR NEW
COLLEAGUE
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http://voy.trekcore.com/gallery/thumbnails.php?album=276
The DOCTOR
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https://yellrobot.com/zora-robot-companion-dementia-nursing-healthcare/
The ROBOT: ZORA
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AMS Healthcare call to action
A call for healthcare professionals,
educators, and policymakers to ensure
that technologies are held accountable
to healthcare’s compassionate purpose
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Oh, and our new colleague…
Now its your
turn…
@BDHodges1