Traditional Poster Round
Ideas and Works in Progress Abstract:
Asheen Rama, Lynda Knight, Thomas Caruso
Virtual reality, 360 degree videos, simulation, teamwork, safety, attitudes, communication, conflict resolution, anger, assertiveness, quality, medical errors, TeamSTEPPS®1
Knowledge, performance, and attitudes are keys to developing high quality, safe, and effective patient care teams.1 Attitudes can significantly influence communication, which is essential for hospital staff who manage high acuity environments.1 Ineffective communication can lead to medical errors and pose challenges to patient safety.2,3 Evidence based teamwork curriculums, including Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®1) and simulation training have been developed to improve communication amongst healthcare team members.
Simulation training is traditionally conducted in dedicated simulation centers or with mobile simulation units in clinical settings. Given the availability of low cost, portable virtual reality (VR), these may provide an additional tool for simulation training without the costs of dedicated centers and mobile units. However, it is unknown if participants in a simulated VR experience will elicit the same emotional response as traditional in-person simulation.
Given the potential of VR simulation, we are developing two VR experiences that simulate a challenging encounter. The first aim of this project is to determine if VR simulation produces an emotional response as measured by changes in heart rate variability and respiratory patterns. The second aim is to examine the effectiveness of a post-VR debrief session utilizing the TeamSTEPPS®1 educational resource, measured with qualitative outcomes from cognitive interviews and quantitative outcomes from post-debrief questionnaires.
Research Question/ Educational Goal
Can we change the culture of communication and promote civility during times of significant challenges to healthcare teams?
Can VR simulation be a substitute for in person simulation with respect to creating an emotional response, which has been shown to be necessary for longitudinal process change?
Proposed approach to addressing the question or goal:
Over the course of the year, we will conduct VR simulations with perioperative and intensive care staff in our quaternary care, academic pediatric hospital.
Questions for discussion
What are the key ways that virtual reality simulation can differ from in situ mock codes?
What are the advantages and disadvantages of virtual reality simulation experiences to teach behavioral sciences?
Can a simulation curriculum improve communication, improve civility amongst staff, as well as promote staff wellness in high acuity environments?
What are the optimal methods to ensure sustained behavioral changes and what measures are most effective for quantifying these outcomes?
1. TeamSTEPPS®: National Implementation Research/Evidence Base. Content last reviewed July 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/teamstepps/evidence-base/intensive-care.html
2. Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-90.
3. Duffy FD, Gordon GH, Whelan G, et al. Assessing competence in communication and interpersonal skills: the Kalamazoo II report. Acad Med. 2004;79(6):495-507.