Improving the Application of the Surgical Checklist Using Serious GamesGames for Health Europe (2013), Amsterdam, NL

Baltasar Fernandez-Manjon, balta@fdi.ucm.es , @BaltaFMe-UCM research group, www.e-ucm.es

Slides will be available at SlideShare

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- CHERMUGCooperation with MGH-Harvard University

• www.e-ucm.es

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

4http://www.who.int/patientsafety/safesurgery/en/index.html

5

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

eAdventure game platform

Open code authoring environment for the production of point-and-click adventure games & immersive learning simulations

No programming required and easy to include Learning Analytics in eAdventure games

e-adventure.e-ucm.es

Game development approach

9

CheckList Game

• Raise awareness about the checklist• Learn how to apply it properly• Let practice it application in a free-risk

environmentIn cooperation with UCM (Surgical Department),

Hospital Doce de Octubre, LCS-MGH

Game description

‣ Role selection• Checklist coordinator

‣ Case based game• Two cases with features that covers most

common checklist errors

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://www.chermug.eu

First visit to OR, with UCMhttp://first-aid-game.e-ucm.es

With ONT, educ@ONT

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

Our current projects

Increasing patient safety using games

Modelling/teaching medical procedures atNational Transplant Organization