Screen-Based Simulation, Virtual Reality, and Haptic Simulators

Gerard, James; Pusic, Martin

doi:10.1007/978-3-319-24187-6_9

Cited by 15 publications

(10 citation statements)

References 49 publications

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“…Because of high front-end costs, VR has yet to become widespread in simulation usage, which may be the reason why it is relatively underresearched in this context. 37 Without a completed VR software, there is no simulation. A skilled facilitator and operator can craft many different scenarios using a mannequin-based simulator; however, VR must be developed fully before its use.…”

Section: Discussionmentioning

confidence: 99%

Development and Considerations for Virtual Reality Simulations for Resuscitation Training and Stress Inoculation

Hollinger¹,

Dolby²,

Sherman³

2020

Sim Healthcare

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Introduction: Resuscitation simulations immerse learners into the complexity of emergency patient management. Head-Mounted Display Virtual Reality (VR) has been used for stress inoculation therapy for phobias and posttraumatic stress disorder. However, VR for stress inoculation in resuscitation leadership training has not been studied. We sought to develop VR simulation for stress inoculation, as exposure therapy training, for resuscitations. Methods: We explain the conceptual design, development, production, and initial evaluation process for 2 VR simulations in infant status epilepticus and pediatric anaphylactic shock. We further describe deliberate game mechanic choices to maximize psychological fidelity. In-virtual reality performance data for time-to-critical actions and stress physiology markers (heart rate, salivary cortisol) were collected from expert pediatric emergency physicians and novice pediatric residents. Data were analyzed to examine differences between the 2 groups for both outcome types to determine the extent of stress response or performance deficit the VR induced. Results: Multiple difficulties and distractions were designed for the 2 scenarios; we evaluated the highest difficulty and environmental distraction versions. Between 19 expert physicians and 15 novice physicians, no performance differences were found in typical airway, breathing, and circulation actions. Residents preferred more lorazepam first-line antiepileptics than attendings (P = 0.003) and performed a cricothyrotomy later than attendings (P = 0.02). Residents, however, manifested higher salivary cortisol levels than attendings (+0.07 μg/dL, 95% confidence interval = 0.03-0.12, P = 0.001). Conclusions: A VR resuscitation simulation manifested expected stress physiology changes in physicians. Further evaluation is needed to determine the effect of VR simulation as longitudinal stress inoculation for healthcare providers.

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Section: Discussionmentioning

confidence: 99%

Development and Considerations for Virtual Reality Simulations for Resuscitation Training and Stress Inoculation

Hollinger¹,

Dolby²,

Sherman³

2020

Sim Healthcare

Self Cite

View full text Add to dashboard Cite

show abstract

“…CBS serves as a means to provide consistent, standardized, realistic, engaging patient care scenarios that augment physicians’ training and ongoing education programs. 4 The study CBS provided physicians with an interactive training modality set in a safe, confidential learning environment with opportunities for deliberate practice. Physicians received immediate feedback by scoring points when they answered questions or “performed” physical exam elements correctly.…”

Section: Discussionmentioning

confidence: 99%

Provider-Focused Intervention to Promote Comprehensive Screening for Adolescent Idiopathic Scoliosis by Primary Care Pediatricians

et al. 2018

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Screening can detect adolescent idiopathic scoliosis (AIS). The objective was to determine if computer-based simulation (CBS) and computerized clinical decision-support systems (CCDSS) would improve primary care providers' AIS screening exams as noted in their documentation. All participants received AIS screening CBS training. Participants were then randomized to receive either CCDSS when an eligible patient was seen (intervention arm) or no further intervention (comparison arm). Eligible patients' documentation was analyzed looking for a complete AIS screening exam. Over the span of 17 weeks, 1051 eligible patients were seen; 468 by providers in the intervention arm, 583 in the comparison arm. In all, 292/468 (62%) of eligible patients seen in the intervention arm and 0/583 (0%) in the comparison arm had a complete AIS screening exam documented. Compared with single CBS training alone, repeated exposure to CCDSS after CBS training resulted in improved documentation of the screening exam for AIS.

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“…Virtual simulators are one of the more recent simulation modalities, ranging from responsive environments projected onto a screen (Fig 1 and Fig 2) to virtual and augmented reality applications that use wearable headsets to place a person in a 3D responsive environment (Fig 3). 11,12 There are currently several different types of virtual simulators being used within veterinary education, 13‐17 but, with a few exceptions, there has been a relative lack of research on their usability or the outcomes related to their use 6,18 …”

Section: Figurementioning

confidence: 99%

Beyond the classroom: insights into the use of virtual simulation in veterinary education

Farrell

2020

Veterinary Record

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Screen-Based Simulation, Virtual Reality, and Haptic Simulators

Cited by 15 publications

References 49 publications

Development and Considerations for Virtual Reality Simulations for Resuscitation Training and Stress Inoculation

Development and Considerations for Virtual Reality Simulations for Resuscitation Training and Stress Inoculation

Provider-Focused Intervention to Promote Comprehensive Screening for Adolescent Idiopathic Scoliosis by Primary Care Pediatricians

Beyond the classroom: insights into the use of virtual simulation in veterinary education

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