This presentation discusses a study validating a serious game to improve multi-patient care skills in emergency departments. The study compares game performance and choices to other metrics like medical licensing exam scores and evaluations. It is currently enrolling US medical students and pediatric residents. The goal is to determine if there is a dose-response relationship between game use and multi-patient care ability as assessed by in-game metrics and real patient care efficiency. The presentation outlines the study timeline and seeks advice on funding, data collection best practices, and alternative outcomes.

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