TITAN: Targeted Immersive Training at NHS Nightingale

应急准备培训是成功应对COVID-19等大流行病的基础。南丁格尔NHS伦敦提供了一个新的挑战，大规模的医疗保健相关的培训。与医疗保健不同的是，它在短时间内为一个单一的目的汇集了来自广泛医学学科的专业人员。为了满足这些训练需求，在O2体育馆建造了一个南丁格尔的复制品。驻扎在南丁格尔的教育工作者的目标是培训员工具有特定于covid - 19的能力。不可避免的是，紧急情况的速度和不可预测的性质意味着可以通过培训支持的程序的质量、现实性和范围是有限的。虚拟现实（VR）技术便携、设置快速、易于修改，可以在紧急情况下提供独特的培训机会，但VR在英国应对COVID-19的任何培训中都没有出现。尽管它已经在临床教育中使用了10多年，但迄今为止的用途都是定制的。我们正在与伦敦南丁格尔NHS、国王学院医院和伦敦国王学院的团队合作，设计和构建一个模块化（软件和硬件）平台，以便在紧急情况下快速部署有针对性的培训干预措施。在我们实施精心挑选的培训方案以补充现有培训、减少工作人员和消耗品负担的同时，我们将利用对培训的紧急需求来为工具和要求的设计提供信息。其中强调的一个主要领域是需要解决个人防护装备短缺问题，这一问题因在培训中使用而加剧。整个项目的目标是，最终，使用我们的工具包创建一个3D培训场景，在技术能力和时间上应该相当于创建PowerPoint 2D培训材料。同样，部署也应简单、可扩展，并满足所有必要的健康和安全要求（例如传染病控制和去污）。虽然我们将首先关注南丁格尔NHS的需求，但COVID-19（以及其他传染病）的影响可能会在未来许多年内继续在全球范围内产生影响。我们的愿景是通过与NHS南丁格尔团队合作，利用该项目的成果和我们的学习成果，创建一个可快速部署和可定制的VR培训解决方案，该解决方案可以在需要进行培训的“现场”进行。从而能够在尼日利亚的拉沙热暴发期间或在冲突地区的野战医院期间提供例如缺乏经验的志愿者的支持。**影响的延期**延期提供的额外资金和时间将使我们能够将该项目进一步推向商业化。我们将能够：*在不同的NHS信托机构进行第二次试点，以展示更广泛的适用性，并收集更多的数据/反馈*通过有针对性的营销活动积极探索广告/赞助模式，使培训在使用时免费*建立我们的商业计划和供应链战略*继续与KCH/KCL团队合作，以确保产品有最大的成功发布机会

Emergency preparedness training is fundamental to success in a pandemic such as COVID-19. The NHS Nightingale London provides a fresh challenge to large-scale healthcare-related training. Unusually to healthcare, it has brought together professionals from wide ranging medical disciplines in a short period of time for a singular purpose. A replica of the Nightingale was created at the O2 Arena to address these training needs. Educators stationed at the Nightingale aim to train the workforce in COVID-specific competencies.Inevitably, the speed and unpredictable nature of an emergency means the quality, realism and range of procedures that can be supported through training is limited.Virtual Reality (VR) technologies which are portable, setup quickly and easily modifiable could provide unique training opportunities in emergency situations, yet VR has not featured in any UK response to COVID-19 training. Although it has been used in clinical education for over 10 years, uses thus far are bespoke.We are working with teams from NHS Nightingale London, King's College Hospital and King's College London to design and build a modular (software and hardware) platform for the rapid deployment of targeted training interventions in emergency situations.We will use the emergency need for training to inform the design of tools and requirements as we implement carefully selected training scenarios to complement existing training, reducing staff and consumable burden. A major area of which has been highlighted is the need for solutions to the Personal Protective Equipment (PPE) shortage, which is amplified through its use in training.The overall project ambition is that, eventually, creating a 3D training scenario using our toolkit should be equivalent in technical competency and time to creating PowerPoint 2D training materials.Equally, deployment should be simple, scalable and meet all necessary health and safety requirements (e.g. contagion control and decontamination).While we will focus on the needs of NHS Nightingale in the first instance, the effects of COVID-19 (along with other infectious diseases) will likely continue to have a worldwide impact for many years to come. Our vision is to use the outputs of this project and our learning through working with the NHS Nightingale team to create a rapidly deployable and customisable VR training solution that can be put in "on the ground" right where training needs to take place. Thereby enabling the support of e.g. inexperienced volunteers during a Lassa Fever outbreak in Nigeria or a field hospital in a conflict zone.**Extension for Impact**The additional funding and time provided by the extension will allow us to take this project significantly further towards commercialisation. We will be able to:* Run a second pilot at a different NHS trust to demonstrate wider applicability and gather more data/feedback * Actively explore an advertising/sponsorship model through a targeted marketing activity to make training free at point of use* Build out our business plan and supply chain strategy* Continue our collaboration with teams at KCH/KCL to ensure the product has the maximum chance of a successful launch