Immersive Virtual Reality Onboarding using a Digital Twin for a New Clinical Space Expansion: A Novel Approach to Large-Scale Training for Health Care Providers

Zackoff, Matthew; Rios, Michelle; Davis, David; Boyd, Stephanie; Roque, Ingrid; Anderson, Ian; NeCamp, Matthew; Gardner, Aimee K.; Geis, Gary L.; Moore, Ryan

doi:10.1016/j.jpeds.2022.07.031

Cited by 4 publications

(7 citation statements)

References 12 publications

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“…Overall, rates of adverse events were low with no participants needing to stop the VR experience once initiated. Importantly, those with prior VR experience were more likely to report no side effects 28 . These findings support that side effects that limit participation are uncommon and are less likely with increased exposure to VR, further supporting increased adoption of VR as a training modality in the healthcare context.…”

Section: Discussionsupporting

confidence: 53%

“…21 We have VR experience were more likely to report no side effects. 28 These findings support that side effects that limit participation are uncommon and are less likely with increased exposure to VR, further supporting increased adoption of VR as a training modality in the healthcare context.…”

Section: Discussionsupporting

confidence: 52%

“…Cumulative OR with 95% confidence interval (CI) for recognition of sepsis at T 1 in comparison to T 2 and T 3 were reported. To be 80% powered to capture a 2.6 OR (based on prior studies 28 ) of sepsis recognition between the two groups with two‐sided significance level of 5% would require 46 participants per group (i.e., 46 novice nurses) requiring 92 simulation sessions. All statistical analyses were done as two‐sided tests with p ≤ .05 deemed statistically significant using SAS 9.4 (SAS Institute Inc.).…”

Section: Methodsmentioning

confidence: 99%

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Multiuser immersive virtual reality simulation for interprofessional sepsis recognition and management

Zackoff,

Cruse,

Sahay

et al. 2024

Journal of Hospital Medicine

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IntroductionSepsis is a leading cause of pediatric mortality. While there has been significant effort toward improving adherence to evidence‐based care, gaps remain. Immersive multiuser virtual reality (MUVR) simulation may be an approach to enhance provider clinical competency and situation awareness for sepsis.MethodsA prospective, observational pilot of an interprofessional MUVR simulation assessing a decompensating patient from sepsis was conducted from January to June 2021. The study objective was to establish validity and acceptability evidence for the platform by assessing differences in sepsis recognition between experienced and novice participants. Interprofessional teams assessed and managed a patient together in the same VR experience with the primary outcome of time to recognition of sepsis utilizing the Situation Awareness Global Assessment Technique analyzed using a logistic regression model. Secondary outcomes were perceived clinical accuracy, relevancy to practice, and side effects experienced.ResultsSeventy‐two simulations included 144 participants. The cumulative odds ratio of recognizing sepsis at 2 min into the simulation in comparison to later time points by experienced versus novice providers were significantly higher with a cumulative odds ratio of 3.70 (95% confidence interval: 1.15–9.07, p = .004). Participants agreed that the simulation was clinically accurate (98.6%) and will impact their practice (81.1%), with a high degree of immersion (95.7%–99.3%), and the majority of side effects were perceived as mild (70.4%–81.4%).ConclusionsOur novel MUVR simulation demonstrated significant differences in sepsis recognition between experienced and novice participants. This validity evidence along with the data on the simulation's acceptability supports expanded use in training and assessment.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionsupporting

confidence: 52%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Multiuser immersive virtual reality simulation for interprofessional sepsis recognition and management

Zackoff,

Cruse,

Sahay

et al. 2024

Journal of Hospital Medicine

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“…Numerous research studies have explored the use of VLs and related pedagogical strategies in wide range of disciplines and educational programs (Calvert & Hume, 2022;Nagdee et al, 2022;Ray & Srivastava, 2020;Shorey & Ng, 2021;Xue & Crompton, 2022). These include a variety of disciplines including health science and medical education (Silberman et al, 2013;Teles et al, 2020;Wright et al, 2018;Zackoff et al, 2023), engineering (Mohamed et al, 2021), science (Engel et al, 2023;Watson et al, 2022;Zahid Iqbal & Campbell, 2023) psychology and consultancy (Neden, 2020), and art (Yu et al, 2023).…”

Section: Concept Of Virtual Labsmentioning

confidence: 99%

Sustainable practices in education

Sharifkhani,

Davidson,

MacCallum

et al. 2023

APUBS

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The adoption of Virtual Labs (VLs) as a pedagogical tool in higher education is rapidly increasing, especially with the recent shift towards remote learning during the COVID-19 pandemic. VLs offer a digital alternative to traditional laboratory settings, employing computer graphics, simulations, and interactive models to create immersive and interactive learning experiences. While the pedagogical benefits of VLs are well-established, their potential contribution to sustainability within Higher Education Institutions (HEIs) remains ambiguous. This paper aims to address this ambiguity by conducting a literature review to examine the sustainability implications of adopting VLs in HEIs. This literature review reveals that VLs have the potential to enhance sustainability in HEIs across multiple dimensions. However, the literature highlights challenges and limitations associated with implementing VLs despite the positive indications. These include issues related to usability, technical challenges, and the potential costs associated with the adoption of VLs. This literature review suggests the need for further research on the adoption of VLs in HEIs, specifically in relation to achieving the SDGs. It emphasises the importance of considering pedagogical aspects and implementing innovative teaching practices to maximise the long-term effectiveness of VLs. By shedding light on the intersection of VLs and sustainability in HEIs, this research contributes to a broader understanding of how adoption of VLs, can foster a stronger connection between people, the environment, and pedagogy, creating the way for a more sustainable and inclusive future of education.

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“…The benefits of a digital twin patient model to inform clinical decision-making in critical illness have been previously proposed ( 9–12 ). Digital twins could also be adapted for critical care education, allowing learners to simulate the effects of various interventions and explore their potential outcomes in a controlled, virtual environment without negative patient impacts ( 13 , 14 ). Compared to conventional virtual patient simulation models, digital twins provide users with a more authentic experience in complex illness management by incorporating real-time, EHR-derived patient data into comprehensive computational models ( 15–17 ).…”

Section: Introductionmentioning

confidence: 99%

Development and usability testing of a patient digital twin for critical care education: a mixed methods study

Rovati,

Gary,

Cubro

et al. 2024

Front. Med.

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BackgroundDigital twins are computerized patient replicas that allow clinical interventions testing in silico to minimize preventable patient harm. Our group has developed a novel application software utilizing a digital twin patient model based on electronic health record (EHR) variables to simulate clinical trajectories during the initial 6 h of critical illness. This study aimed to assess the usability, workload, and acceptance of the digital twin application as an educational tool in critical care.MethodsA mixed methods study was conducted during seven user testing sessions of the digital twin application with thirty-five first-year internal medicine residents. Qualitative data were collected using a think-aloud and semi-structured interview format, while quantitative measurements included the System Usability Scale (SUS), NASA Task Load Index (NASA-TLX), and a short survey.ResultsMedian SUS scores and NASA-TLX were 70 (IQR 62.5–82.5) and 29.2 (IQR 22.5–34.2), consistent with good software usability and low to moderate workload, respectively. Residents expressed interest in using the digital twin application for ICU rotations and identified five themes for software improvement: clinical fidelity, interface organization, learning experience, serious gaming, and implementation strategies.ConclusionA digital twin application based on EHR clinical variables showed good usability and high acceptance for critical care education.

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Immersive Virtual Reality Onboarding using a Digital Twin for a New Clinical Space Expansion: A Novel Approach to Large-Scale Training for Health Care Providers

Cited by 4 publications

References 12 publications

Multiuser immersive virtual reality simulation for interprofessional sepsis recognition and management

Multiuser immersive virtual reality simulation for interprofessional sepsis recognition and management

Sustainable practices in education

Development and usability testing of a patient digital twin for critical care education: a mixed methods study

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