Validation of an affordable and accessible alternative simulation technology

描述（由申请人提供）：本项目的总体目标是验证在产科环境中进行严肃游戏模拟培训以达到教育目标的能力。产科提供者（医生和护士）将被随机分配到“经典”模拟实验室 （基于人体模型的）训练，或者严肃的游戏模拟训练。这两个系统都将被设计用于教授电子胎儿监护仪的解释和相关的决策，并且内容将在各个平台上匹配，以便准确地测量分娩方式的性能。将使用成熟的原位模拟评估客观结局指标，这将最大限度地提高结果对真实世界临床性能的普遍性。我们与美国妇产科医师学院合作开展这项研究并传播我们的结果。 公共卫生相关性：该计划具有很高的潜力，以减少可避免的胎儿损伤和不必要的剖宫产率，由于不适当的电子胎心监测解释和相关的决策，特别是在医院不容易进入模拟中心。产妇护理占美国所有医疗保健费用的5%，2008年由于分娩相关并发症，美国在产妇护理上额外花费了174亿美元。此外，管理不善的情况导致社会在受伤婴儿的长期医疗护理和责任成本方面的成本很高，这直接影响了社会的医疗保健成本。

DESCRIPTION (provided by applicant): The overall aim of this project is to validate the ability of serious game simulation training in the obstetrical setting to reach educational objectives. Obstetrical providers (physicians and nurses) will be randomized to either 'classic' simulation lab (mannequin based) training, or serious game simulation training. Both systems will be designed to teach electronic fetal monitor interpretation and associated decision-making, and content will be matched across platforms in order to accurately measure the performance of the delivery modality. Objective outcome measures will be assessed using a well-established in situ simulation, which will maximize the generalizability of the results to real-world clinical performance. We have partnered with the American College of Obstetricians and Gynecologists to develop this research and to disseminate our results. PUBLIC HEALTH RELEVANCE: This program has high potential to decrease the rate of avoidable fetal injury and unnecessary cesarean deliveries due to inappropriate electronic fetal heart monitoring interpretation and related decision-making, particularly at hospitals without easy access to simulation centers. Maternal care accounts for 5% of all healthcare costs in the U.S, which spent an additional $17.4 billion on maternal care due to delivery-related complications in 2008. Mismanaged cases result additionally in a high cost to society both in terms of long term medical care of the injured infant and in terms of liability costs, which directy impact the cost of healthcare to society.