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

1. ALERT Presentation:
Validating a Serious Games strategy to
improve multi-patient care in Emergency
Departments
Todd 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

2. 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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3. Background
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4. 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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5. 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

6. • 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

7. 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 Efficiency
PED Evaluation
Ward Efficiency
ED Efficiency
Rolling In-Game Data Collection: Efficiency, Strategy

8. • 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

9. 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

10. 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

11. Todd P Chang MD, MAcM
Children’s Hospital Los Angeles
dr.toddchang@gmail.com
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information