patient safety

Kim Pardini-Kiely, RN, MS

Recently, together with Medicine X, The Risk Authority Stanford’s Innovence™ Lab hosted our inaugural Medicine X Patient Safety Design Challenge on the informed consent process and shared medical decision-making.  We had over 100 participants, and 100% of the participants shared that they would recommend participation.  This is an energizing success for Innovence™ Lab at The Risk Authority Stanford (Innovence Lab), and a success for all who joined us.



Where Qualitative Meets Quantitative

Innovence Lab is a collaborative center of thought innovation that combines the one-two punch of design thinking and decision science – the first of it’s kind in the field of risk management. We’re pairing the ethnographic, generative process of design thinking (see our blog post “Transforming Healthcare with Design Thinking”) with the evaluative rigor of decision analysis, a process that provides a tested means of making high-quality decisions under uncertainty by identifying, structuring, and quantifying cost and benefit variables.


Applying the strengths of both qualitative and quantitative problem-solving methods to innovation creates a comprehensive approach to identifying, prioritizing, and generating high quality, human-centered solutions for patients and providers. Our vision for Innovence Lab is to create a space and dedicated resources that strive towards perfect clinical care with zero preventable harm by providing tools, expertise, and spaces for connection and collaboration among Stanford’s medical institutions and beyond. The Innovence Lab is where medical safety and risk management ideas can grow and evolve, where pioneers across multiple disciplines can gather to collaborate and expand on traditional methods.


Informed Consent and Shared Medical Decision Making

Which is precisely what we strove for together during our Medicine X Patient Safety Design Challenge. Together, we accepted the challenge of redesigning the medical decision making process for patients and for providers. By the end of the day we learned how to discover hidden needs and stakeholders, how to turn insights into generative questions and brainstorm ideas, and how to bring service concepts to life.


Our five participating groups generated important new ideas about:

1)    Lifestyle-based medical decision-making becoming part of the informed consent process.

2)    The potential of reducing the physician burden for informed consent making by providing support services, such as a consent specialist, or a support network with an online community and local support groups.  Patients and caregivers may engage more easily and productively with people they see as peers.

3)    Creating patient knowledge and informed consent tools which recognize that low-engagement patients make decisions differently than high-engagement patients.

4)    Designing the informed consent process so that it incorporates the use of technology based tools.

5)    Reducing confusion with the current informed consent form by creating a simplified or interactive electronic tool that captures decisions, questions, and the emotional state of the patient or caregiver.


Check out this great video of that shows how the day went:


Up Next

Our next step is to launch a formal informed consent and medical decision-making project. We expect to launch our project in January and will be reaching out to participants for continued involvement and support. If you were unable to attend out Medicine X event, but would like to know more about our efforts to improve the processes of informed consent and shared medical decision making, please email us at


Thank you for joining us on the first step of this collaborative journey. Together we’ll work across disciplines and institutions to develop innovative, human-centered solutions that will strive to improve the practices, visions, and cultures of healthcare systems.


By: Kim Pardini-Kiely, RN, MSN

Kim Pardini-Kiely currently serves as Vice President for Safety & Risk Strategic Ventures for The Risk Authority Stanford, Stanford Health Care and Stanford Children’s Health. She is a healthcare executive experienced in leading hospital operations and in driving clinical improvements in outcomes. Kim has presented nationally and internationally on a wide variety of healthcare topics and her passion for excellent and down to earth style has earned her high marks. She is a nationally recognized expert in improving clinical outcomes, implementing clinical analytic departments, transforming hospital culture and creating models that focus on value.