validating a serious games strategy to improve multi-patient care in emergency departments

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

dr.toddchang@gmail.com

International Network for Simulation-based Pediatric Innovation, Research and Education

Contact Information