D-CITE - A Serious Game to Analyze Complex Decision-Making in Air Traffic Management

Freese, Maria; Drees, Sebastian

doi:10.1007/978-3-319-40216-1_3

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…Lately, video games have accelerated this trend in safety and defense [22], A-CDM (for Airport Collaborative Decision Making) [23], clinical healthcare [24] or business management [25]. Serious games are particularly suited for such an undertaking as they enable a player or a group of players to make decisions freely and experience their consequences in a virtual, safe and controlled environment.…”

Section: B Decision Support Systemsmentioning

confidence: 99%

Making Decisions in a Virtual Operating Room

Lelardeux

Panzoli

Lagarrigue

et al. 2016

2016 International Conference on Collaboration Technologies and Systems (CTS)

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Section: B Decision Support Systemsmentioning

confidence: 99%

Making Decisions in a Virtual Operating Room

Lelardeux

Panzoli

Lagarrigue

et al. 2016

2016 International Conference on Collaboration Technologies and Systems (CTS)

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“…SG are de ned as games for learning more that for entertainment. They are widely used in the elds of professional development and training, education, and scienti c research [38,39], especially in environments where there is a high risk for adverse events, such as air tra c control [40] and the military [41]. In the medical eld, SG have already been used to show that interruptions lengthen the duration of medical evaluations and affect subsequent decisions, which begin by being more disorganized and deviate from prescribed standards [41].…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of a serious game to study the effects of environmental distractors on emergency room nurse triage accuracy: a pilot randomized controlled trial

Fiorentino

Antonini

Vuilleumier

et al. 2023

Preprint

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Background: Emergency room nurse triage entails complex clinical decision making under stress and time constraints. Workplace distractors, such as noise and task interruptions, have been pointed to as possible reasons for triage inaccuracy, though studies have not borne this out. To train nurses to perform the task, a serious game was developed to simulate the triage process and environment. A pilot study was undertaken to evaluate the acceptability and feasibility of the serious game and to collect preliminary data on the effects of two distractors—noise and task interruptions—on emergency room nurse triage accuracy. Methods: A 2 × 2 factorial randomized controlled trial was designed for the study. A sample of 70 emergency room nurses was randomly assigned to four groups: three experimental groups exposed to different distractors (noise, task interruptions, and both) and one control group exposed to none. The nurses in each group had two hours to complete a series of 20 clinical vignettes where they had to establish a chief complaint and assign an emergency level. Their responses were then compared against a gold standard predetermined by experts. Results: Among 70, 55 nurses completed about 15 vignettes each in the allotted time. No inter-group differences emerged in terms of triage performance. Only a few minor technical issues arose during the sessions. Nurses had a very favorable appreciation of the serious game on triage as measured through a semantic differential scale. Conclusions: Results show that both the structure of our study and the serious game on triage can be used to carry out a future RCT on a larger scale. Two minor technical bugs were identified and corrected, the series of vignettes to complete in two hours must be shortened to 15, and the test should be held during work hours to support recruitment and reduce the possible impact of nurse fatigue on triage performance. The absence of a distractor effect raises questions about whether distractors have an effect and at what frequency and intensity of noise and task interruptions might have an impact on triage performance and whether this dose is realistic.

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“…SG are de ned as games whose primary purpose is neither fun nor entertainment. These are frequently used in the context of professional development and training, education, and scienti c research (39,40) to develop competencies in elds where poor decisions are associated with a high adverse-event risk, such as air tra c control (41) and the military (42). More recently, SG have been used in the medical eld to examine, for example, the impact of task interruptions on the medical evaluation of patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of environmental distractors on nurse emergency triage accuracy: a pilot study protocol

Delmas

Fiorentino

Antonini

et al. 2020

Preprint

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Background: The clinical decisions of emergency department triage nurses need to be of the highest accuracy. However, studies have found repeatedly that these nurses over- or underestimate the severity of patient health conditions. This has major consequences for patient safety and patient flow management. Workplace distractors such as noise and task interruptions have been pointed to as factors that might explain this inaccuracy. The use of a serious game reproducing the work environment during triage affords the opportunity to explore the impact of these distractors on nurse emergency triage accuracy, in a safe setting. Methods/Design: A pilot study with a factorial design will be carried out to test the acceptability and feasibility of a serious game developed specifically to simulate the triage process in emergency departments and to explore the primary effects of distractors on nurse emergency triage accuracy. Eighty emergency nurses will be randomized into four groups: three groups exposed to different distractors (A: noise, B: task interruptions, C: noise and task interruptions) and one control group. All nurses will have to complete 20 clinical vignettes within two hours. For each vignette, a gold standard assessment will be determined by experts. Pre-tests will be conducted with clinicians and certified emergency nurses to evaluate the appeal of the serious game. Discussion: Study results will inform the design of large-scale investigations and will help identify teaching, training and research areas that require further development.

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D-CITE - A Serious Game to Analyze Complex Decision-Making in Air Traffic Management

Cited by 6 publications

References 4 publications

Making Decisions in a Virtual Operating Room

Making Decisions in a Virtual Operating Room

Feasibility and acceptability of a serious game to study the effects of environmental distractors on emergency room nurse triage accuracy: a pilot randomized controlled trial

Effects of environmental distractors on nurse emergency triage accuracy: a pilot study protocol

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