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Language: en

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AI in healthcare are mostly focusing on imaging,

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because the recent wave of AI development actually

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kind of thanks to a breakthrough

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in the imaging recognition like CNN,

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new algorithms like CNN.

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That's why most people actually focus their AI effort on
medical image processing,

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but again, I would like to emphasize that

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if we use AI in quality and patient safety,

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you know, it might be easier to get
benefit for the patient and faster as well.

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Especially in an environment like
Taiwan, we have a National Health Insurance,

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so every improvement, every tiny little improvement will be amplified by 23 million,

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that's how many patients we have.

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And it's all one database.

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So that's why I think it's about time we have a conference on AI QPS,

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AI in quality and patient safety.

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Okay, before we have our keynote speaker,

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I actually would like to show you a few
slides of one example

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that we dedicate the AI effort into patient safety,

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and this is for improved the medication safety.

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I would like to just spend a few minutes.

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So as you know that medical error 
has been a major problem.

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It was in the year 2000,

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the medical error still ranked number five in the top 5 causes of death

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in the year 2000, every year

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medical error kills about, these are 
deaths, these are not injury,

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those people are dead

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okay, so about 100,000 people dead for
medical error, due to medical error,

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and in 2013, after about 13 years,
this one is published in 2016,

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but the numbers are from 2013.

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So after 13 years of effort, you know, everybody is working on it,

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and feel likes it's a big problem,

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we managed to make medical error,

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you know,

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number three in the top five causes of death.

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If we work even harder,

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it will actually, you know, replace cancer and

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heart disease, and become number one, you
know.

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So that's really a big problem,

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and of course, it's not that we're not
doing enough,

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well actually, we probably are not doing
enough, but uh,

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but again, the Asian population

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make people, you know, uh, it make
the poly-morbidity issue, you know,

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there are more diseases in one patient.

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It's a doctor I've been seeing patient for

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twenty years, and you know, many of my
patients ages with me.

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Okay so when they

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started to see me, they were like sixty in
their 60s,

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now they're in their 80s.

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But they're still kind of relatively healthy,
but again, they have diabetes,

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hypertension, you know, poly-morbidity.

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So me many patients suffer from multiple diseases.

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In poly-pharmacy, because of 
the multiple diseases,

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they need to take a lot of medicine,

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you know, the maximum,

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um, number of drugs that you can 
prescribe to one person.

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Do you know there's a limit for that?

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In our hospital,

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you know,
in many of our hospital, that number was 21,

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okay so in a hospital.

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But there's no limit if you do it,

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if you take your drug from several different
hospitals, right?

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So, um, poly-pharmacy, that's a big problem,

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and more patient visit means
shorter physician time,

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and there are new drugs, new exams, and new procedures.

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Some people estimate that the half-life of medical knowledge is 70 months.

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Okay, if that's the case, that means

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one and a half year after you
graduate from medical school,

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half of your knowledge has already outdated, right?

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So it's really a lot of new things that we
have to learn,

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not to mention genomic factors, environmental factors,

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and other factors are increasing

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the complexity of these things.

