Serious games may improve physician heuristics in trauma triage

Proceedings of the National Academy of Sciences of the United States of America
Deepika MohanAmber E Barnato

Abstract

Trauma triage depends on fallible human judgment. We created two "serious" video game training interventions to improve that judgment. The interventions' central theoretical construct was the representativeness heuristic, which, in trauma triage, would mean judging the severity of an injury by how well it captures (or "represents") the key features of archetypes of cases requiring transfer to a trauma center. Drawing on clinical experience, medical records, and an expert panel, we identified features characteristic of representative and nonrepresentative cases. The two interventions instantiated both kinds of cases. One was an adventure game, seeking narrative engagement; the second was a puzzle-based game, emphasizing analogical reasoning. Both incorporated feedback on diagnostic errors, explaining their sources and consequences. In a four-arm study, they were compared with an intervention using traditional text-based continuing medical education materials (active control) and a no-intervention (passive control) condition. A sample of 320 physicians working at nontrauma centers in the United States was recruited and randomized to a study arm. The primary outcome was performance on a validated virtual simulation, measured as th...Continue Reading

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Citations

Dec 13, 2019·Journal of Health Communication·Chun ZhouSusan Morgan
Jul 1, 2019·Archives of Disease in Childhood. Fetal and Neonatal Edition·Simran K GhomanGeorg M Schmölzer
Sep 16, 2020·BMC Emergency Medicine·Maria Louise GamborgPeter Musaeus
Nov 17, 2020·Disaster Medicine and Public Health Preparedness·Hai HuHao Li
Nov 17, 2020·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Marc-André Maheu-CadotteMarie-France Deschênes
Sep 1, 2021·The Journal of Surgical Research·Deepika MohanAmber E Barnato

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Clinical Trials Mentioned

NCT03279575

Software Mentioned

Stata
R
Trauma Life Support MCQ Review
myATLS

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