Testing the Effectiveness of a Theory-based, Customized Video Game at Increasing the Implementation of Clinical Practice Guidelines in Trauma Triage
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Trauma Injury
- Sponsor
- University of Pittsburgh
- Enrollment
- 800
- Locations
- 1
- Primary Endpoint
- Under-triage
- Status
- Completed
- Last Updated
- 6 months ago
Overview
Brief Summary
The goal of this clinical trial is to test the effect of a video game on the implementation of clinical practice guidelines in trauma triage. The main question it attempts to answer is whether exposure to the game improves compliance with guidelines by emergency medicine physicians working at non-trauma centers in the US. Participants randomized to the intervention condition will be asked to play a customized, theory-based video game for 2 hours immediately after enrollment, and then return to the game for 20 minutes every three months for the next 9 months. Participants in the control condition will receive usual care.
Detailed Description
Transfer of severely injured patients to trauma centers, either directly from the field or after evaluation at non-trauma centers, reduces preventable morbidity and mortality. Failure to transfer these patients appropriately (i.e., under-triage) remains common, and occurs in part because physicians at non-trauma centers make diagnostic errors when evaluating the severity of patients' injuries. The study team developed Night Shift, a theory-based adventure video game, to recalibrate physician heuristics (intuitive judgments) in trauma triage and established its efficacy in the laboratory. The investigators plan a Type 1 hybrid effectiveness-implementation trial to determine whether the game changes physician triage decisions in real-life, and hypothesize that it will reduce the proportion of patients under-triaged.
Investigators
Deepika Mohan
Associate Professor
University of Pittsburgh
Eligibility Criteria
Inclusion Criteria
- •\- Board certified physicians who work exclusively in the emergency departments (EDs) of non-trauma centers in the US AND triage adult trauma patients
Exclusion Criteria
- •non-physician healthcare professionals who work in EDs
- •physicians who work at trauma and non-trauma centers
- •physicians who work outside the continental US
Outcomes
Primary Outcomes
Under-triage
Time Frame: 1 year
Proportion of severely injured patients, treated by trial participants, not transferred to a higher level of care after initial evaluation at a non-trauma center
Secondary Outcomes
- Over-triage(1 year)
- Mortality and hospital readmission(1 year)
- Functional dependence(1 year)