The document discusses efforts at MedStar to enhance code blue performance through improved education and technology, primarily using the xAPI framework. Key issues identified include delays in defibrillation and team coordination challenges, leading to a focus on developing various educational tools, such as a defibrillator task trainer app. The analysis aims to evaluate clinician performance during mock code blues and the impact of using these educational resources on real-life scenarios.

1. Enhancing Code Blue Education
Performance with xAPI
Dave Bauer
Director of Learning Technologies
MedStar Simulation Training and Education Lab

2. Team
2
Dave Bauer, Itay Moav, Alex Walker,
Cheryl Camacho, Rob Hafey
Brooks Alford, Andrew Downes,
Tim Chudy, Ervin Puskar, Geoff
Alday
Nick Stephenson, Emlyn O'Regan

3. MedStar SiTEL’s mission is to create an adaptable learning
infrastructure and provide resources to meet MedStar’s
current and emergent learning needs.
3
Learning solutions and infrastructure organization of MedStar Health

4. Code Blue at MedStar
• Improving Code Blue performance a top
MedStar priority
• Performance Issues:
– Delays in defibrillation. Lack of device knowledge
– Lack of process/algorithm knowledge
– Team coordination issues
• communication, sharing of knowledge.
• Team members afraid to ask for help.
– Delays in team arrival due to paging delays.
– Rapid Response Teams = fewer opportunities for
others
4

5. Defibrillator
task trainer app
October 17, 2016
5

6. In Situ Mock Code Blues
6

7. October 17, 2016
7

8. 8
Watershed
xAPI Apps
SiTEL LMS
Defibrillator
Game
“Course”
completion
“Course”
Attendance
Scenarios
Attempted and
Completed,
Failed steps
Classroom
Attendance,
User/Org
data
User/Org
data
User auth,
scenarios
completed
Code Blue
Attendance,
KPIs
Checklist
items

9. 9
Observer Checklist

10. Analysis: Mock Codes
• Overall, how are clinicians performing on mock
Code Blues?
• Which organizations are the top performers on
mock Code Blues?
• How are departments in MedStar Georgetown
University Hospital performing on Code Blues?
• Which clinicians haven't participated in mock
code blue?
• Which mock Code Blue steps are hard? 10

11. Analysis: Defibrillator App
• How many clinicians are using the app?
• How does app activity change over time?
• Which clinicians are the top users and
performers on the app?
• Overall, which steps are clinicians having trouble
with?
• Which Zoll steps in [Maintenance | Auto defib |
Manual Defib | Cardioversion | Pacing] are
clinicians having trouble with? 11

12. Analysis: Compare Modalities
• Does App use affect Code Blue performance?
• Does time between app usage and mock code
blue affect performance?
• Does the time between AHA course and mock
Code Blue affect performance in the mock
code?
12

13. 13

14. 14

15. 15