Improving the Application of the Surgical
Checklist Using Serious Games
Games for Health Europe (2013), Amsterdam, NL
Balt...
About me and context
‣ CS Professor at Complutense U.
Director of e-UCM

•

‣ e-UCM research group about
Learning technolo...
Question:
Which instrument reduce the rate of
deaths and complications in surgery by
more than one third ?

N Engl J Med 2...
4

http://www.who.int/patientsafety/safesurgery/en/index.html
5
When implementation leaders did not explain why or show how the
checklist should be used, staff neither understood the rat...
eAdventure game platform
Open code authoring environment for the production of point-and-click
adventure games & immersive...
Game development approach
CheckList Game
Raise awareness about the checklist
• Learn how to apply it properly
• Let practice it application in a fre...
Game description
‣ Role selection
•

Checklist coordinator

‣ Case based game
•

Two cases with features that covers most ...
Game mechanics
‣ Procedure freely explored

‣ Three stages
Game elements and Feedback
‣ Randoms events or team not cooperating

‣ Feedback
Evaluation
‣ Formative evaluation at UCM and at MGH/Harvard
‣ Summative evaluation is being carried out in Madrid
http://first-aid-game.e-ucm.es First visit to OR, with UCM

http://www.chermug.eu

With ONT, educ@ONT
References
•eAdventure. http://e-adventure.e-ucm.es/
•MGH Learning Lab. http://www.massgeneral.org/learninglab/
•First Aid...
Our current projects

Increasing patient safety
using games

Modelling/teaching medical procedures at
National Transplant ...
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Improving the Application of the Surgical Checklist Using Serious Games, Games for Health Europe Conference, 2013

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Description of our game to improve the implementation of the surgical checklist.
This game has been developed by UCM group using eAdventure, in collaboration with Surgical Department at UCM and Hospital Clinico San Carlos, the patient safety unit at Doce de Octubre Hospital and the LCS-MGH e-learning group

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Improving the Application of the Surgical Checklist Using Serious Games, Games for Health Europe Conference, 2013

  1. 1. Improving the Application of the Surgical Checklist Using Serious Games Games for Health Europe (2013), Amsterdam, NL Baltasar Fernandez-Manjon, e-UCM research group, www.e-ucm.es balta@fdi.ucm.es , @BaltaFM Slides will be available at SlideShare
  2. 2. About me and context ‣ CS Professor at Complutense U. Director of e-UCM • ‣ e-UCM research group about Learning technologies 15 researchers Serious games • • - Application to the medical domain European projects • GALA SEGAN CHERMUG Cooperation with MGH-Harvard University - • 2 www.e-ucm.es
  3. 3. Question: Which instrument reduce the rate of deaths and complications in surgery by more than one third ? N Engl J Med 2009; 360:491-499
  4. 4. 4 http://www.who.int/patientsafety/safesurgery/en/index.html
  5. 5. 5
  6. 6. When implementation leaders did not explain why or show how the checklist should be used, staff neither understood the rationale behind implementation nor were they adequately prepared to use the checklist, leading to frustration, disinterest, and eventual abandonment despite a hospital-wide mandate Conley, et at (2011). Effective surgical safety checklist implementation. Journal of the American College of Surgeons, 212(5), 873–9 6
  7. 7. eAdventure game platform Open code authoring environment for the production of point-and-click adventure games & immersive learning simulations e-adventure.e-ucm.es No programming required and easy to include Learning Analytics in eAdventure games
  8. 8. Game development approach
  9. 9. CheckList Game Raise awareness about the checklist • Learn how to apply it properly • Let practice it application in a free-risk environment In cooperation with UCM (Surgical Department), Hospital Doce de Octubre, LCS-MGH • 9
  10. 10. Game description ‣ Role selection • Checklist coordinator ‣ Case based game • Two cases with features that covers most common checklist errors
  11. 11. Game mechanics ‣ Procedure freely explored ‣ Three stages
  12. 12. Game elements and Feedback ‣ Randoms events or team not cooperating ‣ Feedback
  13. 13. Evaluation ‣ Formative evaluation at UCM and at MGH/Harvard ‣ Summative evaluation is being carried out in Madrid
  14. 14. http://first-aid-game.e-ucm.es First visit to OR, with UCM http://www.chermug.eu With ONT, educ@ONT
  15. 15. References •eAdventure. http://e-adventure.e-ucm.es/ •MGH Learning Lab. http://www.massgeneral.org/learninglab/ •First Aid Game. http://first-aid-game.e-ucm.es/ •Marchiori EJ, Ferrer G, Fernández-Manjón B, Povar Marco J, Suberviola González JF, Giménez Valverde A. Video-game instruction in basic life support maneuvers. Emergencias. 2012;24:433-7. (download PDF) •Pablo Moreno-Ger, Javier Torrente, Julián Bustamante, Carmen Fernández-Galaz, Baltasar Fernández-Manjón, María Dolores Comas-Rengifo (2010). Application of a low-cost web-based simulation to improve students’ practical skills in medical education. International Journal of Medical Informatics 79(6), 459-467 (doi:10.1016/j.ijmedinf.2010.01.017). •Brian Johnston, Liz Boyle, Ewan MacArthur, Baltasar Fernández-Manjón (2013). The role of technology and digital gaming in nurse education. Nursing Standard, Vol 27, No 28, pp 35-38, March •Ángel del Blanco, Baltasar Fernández-Manjón, Pedro Ruiz, Manuel Giner (2013). Using videogames facilitates the first visit to the operating theatre. Medical Education. Vol 47, Issue 5, pp. 519-520 •Borro-Escribano B., Martínez-Alpuente I., del Blanco A., Torrente J., Fernández-Manjón B., Matesanz R. (in press) Application of Game-Like Simulations in the Spanish National Transplant Organization. Transplantation Proceedings Journal. •Borro-Escribano B. et Al. (in press) Developing Game-Like Simulations to Formalize Tacit Procedural Knowledge: The ONT Experience. Educational Technology Research and Development Journal. Springer
  16. 16. Our current projects Increasing patient safety using games Modelling/teaching medical procedures at National Transplant Organization

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