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ALERT Presentation:
Validating a Serious Games strategy to improve multi-patient care in Emergency
DepartmentsTodd P Chang MD MAcM
Christine S Cho MD MEd MPH, T Brett Talbot MD, Juan Espinoza MD, Eyal Ben-Isaac MD, Mariam Sargsyan, Sridevi Korand, Cha Chi Fung, PhD
Children’s Hospital Los Angeles (CHLA)INSPIRE @ IMSH 2017 – Orlando, FL, USA
International Network for Simulation-based Pediatric Innovation, Research and Education
Background
Multi-patient care is a skill using multi-tasking, prioritization, and reacting to new stimuli
Multi-patient care is not formally taught, but is expected and subjectively assessed throughout training for providers and nurses
Serious games provides a easier mechanism than mannequin-based simulation to simulate the management of multiple patients
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Background
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Background Currently in Validation Study, comparing
game performance / choices with: USMLE Prep Scores / In-service Training Scores General Video Game experience Subjective Pediatric ED Evaluations Multitasking Aptitude Test (MTAT) Patient Efficiency in the Pediatric ED
Current cohort: USC MS-2s, CHLA Pediatric Residents CHLA Gen Peds, Hospitalist, EM physicians
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Q: Is there a dose-response relationship between game-based training and multi-patient care ability?
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO / Research Question
• Population: Trainees (Ped? EM? MS?)• Intervention: High-dose Game Use• Control/Comparison: Low-dose or none• Outcome(s): In-game performance, In-
game patient strategy, Real patient efficiency
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO / Research Question
Game Available (1 year)
International Network for Simulation-based Pediatric Innovation, Research and Education
Approach / Design
Enrollment
Multitasking Aptitude Test
• 14 Reminders (monthly + during Ped ED rotation)
• Motivational Incentives
PED EfficiencyPED Evaluation
Ward EfficiencyED Efficiency
Rolling In-Game Data Collection: Efficiency, Strategy
• 01 – 03.2017 Recruitment of Sites• 01 – 03.2017 Grant funding sources• 06.2017 Analysis of single-center data• 10.2017 IRB submissions begin• 11.2017 Modifications to game due• 01.2018 Begin Study
International Network for Simulation-based Pediatric Innovation, Research and Education
Timeline
1. Funding or Support mechanisms?
2. Best practices for in-hospital data
collection?
3. Alternative provider- or patient-
level outcomes?
International Network for Simulation-based Pediatric Innovation, Research and Education
3 questions to improve study
At INSPIRE @ IMSH 2017:
Recruitment / Funding search plan
In 2 months: Writing / Protocol
development
International Network for Simulation-based Pediatric Innovation, Research and Education
Goals to accomplish
Todd P Chang MD, MAcMChildren’s Hospital Los Angeles
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information
