Virtual reality tracheostomy training to reduce the carbon footprint of medical education

英国 ** 国家气管切开术安全项目 **（NTSP Ltd，www.tracheostomy.org.uk）是一家成立于2014年的慈善公司，旨在通过教育改善护理。气管造口术是一种人工管道，每年插入英国约20，000名患者的颈部，以帮助他们从危重疾病或手术中恢复。在我们复杂的医疗系统中，这些复杂的患者有时会受到伤害。通过筹集资金，举办课程和拨款，NTSP开发了教育资源和质量改进策略，以改善气管切开术护理。我们的工作已在全国范围内（NHS英格兰国家患者安全改善计划2020）和全球范围内（全球气管切开协作，www.globaltrach.org）采用，并提高了NHS及其他地区医院和社区提供的护理质量和安全性。在2020年发表的一项研究中，我们培训了20家NHS医院的4，000多名员工，主要是面对面课程。我们证明，伤害减少了50%;脆弱患者的焦虑和抑郁减少了50%;住院时间减少了20%（见https：//my.visme.co//index.php？然而，在整个NHS中不断培训新的/轮换的工作人员的挑战是巨大的。NHS的碳足迹是 ** 每年约2000万吨二氧化碳。高质量，价格合理的虚拟和增强现实耳机的出现提供了一个独特的机会，彻底改变气管切开术教育的交付，并显着减少我们的集中课程的支出和差旅。我们仍然可以提供专业内容，但要在本地提供高质量的沉浸式内容。气管切开术护理并不是唯一可以从VR技术中受益的领域，但其独特之处在于它涵盖了来自许多不同专业（成人/儿科，耳鼻喉科，颌面部，麻醉和ICU）的完整的多学科团队（医生，护士，物理治疗师，言语和语言治疗师）。重要的是，NTSP与患者、家属和护理人员密切合作，开发培训和资源，以加快出院速度并改善社区护理。主要目标：* 为NHS工作人员 ** 开发 ** 虚拟现实气管切开术培训课程 ** 为父母、家庭和护理人员 ** 开发 ** 虚拟气管切开术培训 ** 在当地提供课程（基地医院甚至在家里）* 评估培训和减少旅行的影响 ** 我们的愿景：**1. _通过教育消除气管造口术护理过程中可避免的伤害_2. _通过提供本地虚拟现实课程，减少面对面集中培训的碳足迹_** 我们的重点：** 通过在本地应用国家专家的新虚拟现实教育，实现 ** 净零医疗保健 **。通过概念验证的有力证明，我们的创新理念是负担得起的，可采用的和可投资的，为更广泛的医学教育和商业化开辟了这一战略。

The UK **National Tracheostomy Safety Project** (NTSP Ltd, www.tracheostomy.org.uk) is a charitable company established in 2014 to improve care through education. Tracheostomies are artificial tubes inserted into the necks of around 20,000 patients in the UK each year to help recovery from critical illness or surgery. These complex patients cared for in our complex healthcare system can sometimes come to harm.Through fund raising, running courses and grant funding, the NTSP developed educational resources and quality improvement strategies to improve tracheostomy care. Our work has been adopted nationally (NHS England National Patient Safety Improvement Program 2020) and globally (Global Tracheostomy Collaborative, www.globaltrach.org) and has improved the quality and safety of care delivered in hospitals and communities in the NHS and beyond.In one study, published in 2020, we trained over 4,000 staff in 20 NHS hospitals, predominately with face-to-face courses. We demonstrated a 50% reduction in harm; 50% reduction in anxiety and depression amongst vulnerable patients; and a 20% reduction in hospital length-of-stay (see https://my.visme.co//index.php?\_url=/view/y4j11r6z-itc-headline-results&).However, the challenge of continually training new/rotating staff throughout the NHS is huge. The NHS's carbon footprint is **around 20 million tonnes of carbon dioxide each year.** The advent of high-quality, affordable virtual and augmented reality headsets offers a unique opportunity to revolutionise the delivery of tracheostomy education and significantly reduce spending and travel to our centralised courses. We can still deliver expert content, but deliver it locally, with high-quality, immersive content. Tracheostomy care is not the only area that can benefit from VR technology, but is unique in encompassing the full multidisciplinary team (doctors, nurses, physiotherapists, speech and language therapists) from many different specialties (adult/paediatric, ENT, Maxillofacial, Anaesthesia and ICU). Importantly, NTSP partners closely with patients, families and carers, developing training and resources that can speed up hospital discharges and improve care in the community.**Key objectives:*** develop **virtual reality tracheostomy training courses** for NHS staff* develop **virtual tracheostomy training** for parents, families and carers* deliver courses locally (base hospitals or even at home)* evaluate the impact of training and reduced travel**Our vision:**1. _Eliminate avoidable harm during tracheostomy care through education_2. _Reduce the carbon footprint of face-to-face centralised_ _training by providing local virtual-reality courses_**Our focus:**Achieving **net zero healthcare** through applying new virtual reality education by national experts, locally. Through robust demonstration of proof-of-concept, our innovative idea is affordable, adoptable and investable, opening up this strategy for wider medical education and commercialisation.