Más contenido relacionado La actualidad más candente (14) Similar a "Virtual Environments for Healthcare" By Pavarti Dav- Serious Play Conference 2012 (18) Más de SeriousGamesAssoc (20) "Virtual Environments for Healthcare" By Pavarti Dav- Serious Play Conference 20122. My co-pilot has … but I have flown 200
never flown this hours on the simulator
model of plane and am certified for this
before … model
© 2012 IIL Inc. Serious Play, August 21, 2012 2
3. My resident has
… but my chief is
never done this
watching me very
surgical procedure
carefully as I do it.
before …
© 2012 IIL Inc. Serious Play, August 21, 2012 3
4. WHY DOES THIS MATTER ?
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5. The Cost in Life and Money
The cost of medical errors is huge
– $22-38B (source: AHRQ)
An example – Septicemia
– 2% of hospital discharges in the U.S. include septicemia
– Average charge is > $60,000 per case
Prevention requires systemic change through training
– One case prevented can pay for the training
Prevention training is difficult
Knowledge, Skills, ATTITUDE
requires emotional engagement
Learning through Role playing is emotionally engaging
© 2012 IIL Inc. Serious Play, August 21, 2012 5
7. Medical Training
Current approach:
– Classes, e-learning, manikins,
standardized patients
– Problems in scalability, expense,
lack of engagement
© 2012 IIL Inc. Serious Play, August 21, 2012 7
8. Virtual Environments are immersive
And immersive experiential learning
Is DISRUPTIVE
© 2012 IIL Inc. Serious Play, August 21, 2012 8
9. So immersive that it’s real
© 2012 IIL Inc. Serious Play, August 21, 2012 Comm. of the ACM
9
11. HOW EFFECTIVE ARE VIRTUAL
ENVIRONMENTS ?
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12. The Data Show . . .
Comparison of Team Leadership Before and After Practicing Four
Resuscitation Scenarios on a Human Patient Simulator (HPS) or in an
Online Virtual Emergency Department (VED) with Virtual Patients
13. WHAT ARE VIRTUAL
ENVIRONMENTS ?
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16. Scientific meeting in
World of Warcraft (May 2008)
20 JUNE 2008, VOL 320, SCIENCE, www.sciencemag.org
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18. PROTOTYPE VIRTUAL ENVIRONMENT
Forterra, 2005
Multi-
casualty
Incident Multi-
Training player,
Event Online
@ Game
Stanford Technology
– by
2005 Forterra
–
2005
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20. COMPONENTS OF A MEDICAL
VIRTUAL ENVIRONMENT
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24. VIRTUAL OBJECTS THAT INTERACT WITH PATIENT
AND EACH OTHER
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25. CASE AUTHORING, USER ACTION TRACKING AND
ASSESSMENT
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26. Example of use
http://vimeo.com/41082428
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28. ANOTHER WAY OF LOOKING AT
VIRTUAL ENVIRONMENTS
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29. The Virtual Environment is the
‘System’ around the Virtual Patient
Protocols, policies, rules
People/ Team
(real, computer)
Devices, supplies, meds
Virtual
Patient
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30. The Virtual Environment is the
‘System’ around the Virtual Patient
It is the “theater” --
environment -- within
which you can “role Protocols, policies, rules
play”
The “virtual patient” may People/ Team
play a Key or a (real, computer)
Supporting Role
Virtual environments Devices, supplies, meds
extend the usability of
Virtual
virtual patient Patient
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31. THE ‘SANDBOX’ AND THE ‘CAMPAIGN’
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32. Which one to build?
Sandbox Campaign
Explore the environment Trigger actions cause game to
Unguided ‘play’ advance – the ‘narrative’
Automated responsiveness to
player input Reward is in advancement
– Levels, side missions
Play has its own rewards – Earn badges and promotion
– Engaging - Save the patient – Compete with self, others,
teams
Environment rich enough to
Carefully crafted ‘story’
satisfy
http://www.gamasutra.com/view/feature/4081/the_history_and_theory_of_sandbox_.php?print=1
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33. Our experience: Which one to build?
Sandbox Campaign
Unguided ‘play’ Trigger actions cause game to
Environment must be rich advance – the ‘narrative’
enough to be satisfying Carefully crafted ‘story’
This is CliniSpace today CS BattleCare, etc
Need much more content Sub-goals, overall goal are liked
And still need specified goals But want some exploration !
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35. System Overview
Users
Content Applications
Platform
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36. Platform businesses
Integration with other Trainers, Customization
technologies Users curriculum (branding, layout,
(Characters with AI, Natural developers language)
language processing)
Further specialization Specialized worlds Third Party
(Equipment testing in (medical, kids, adult entertainment)
developers
virtual OR) - Simulations of disease, equipment
Platforms Custom
New platforms
(Second Life, OLIVE, Unity) development
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38. Platform businesses
Integration with other Trainers, Customization
technologies Users curriculum (branding, layout,
(Characters with AI, Natural developers language)
language processing)
Further specialization Specialized worlds Third Party
(Equipment testing in (medical, kids, adult entertainment)
developers
virtual OR) - Simulations of disease, equipment
Platforms Custom
New platforms
(Second Life, OLIVE, Unity) development
© 2012 IIL Inc. Serious Play, August 21, 2012 38
40. Ecosystem around a platform
- from “Virtual World Monetization”, Stanford, 2010
Dynamic “Normalize” very
Embedded 3D virtual different people and
pathophysiolog
knowledge Face models Resell spaces sets for activities so that they
y
(nursing, customization – branded or machinima can exercise together Fitness
medical) white label Behavior support
Animations therapy
Virtual Therapy Behavior
3D actors Increase sessions alteration
medical
engagement through avatar
avatars Standardized
of traditional Curriculum association
role players
interactive development Designing
content game or
Virtual Greeters, Experience competition
patients, sales Actors for dynamic
goods machinima designer
person Product Automatic
movies design using
Medical User- assessment
VR/AR of
furniture generated
performance
Adding sensor
content Medical
networks to
Platform worlds
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41. Ecosystem around a platform
- from “Virtual World Monetization”, Stanford, 2010
Resell spaces 3D virtual
– branded or Standardized
sets for
white label role players
machinima
Dynamic
pathophysiolog Virtual
y models actors Actors for
Animations machinima
3D movies
medical
avatars Greeters,
Virtual
patients, sales
goods
person
Experience
Medical designer
furniture Medical
Platform
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42. Ecosystem around a platform
- from “Virtual World Monetization”, Stanford, 2010
Increase
Face engagement Embedded
customization of traditional knowledge
interactive (nursing,
content medical)
Automatic Designing
assessment game or Curriculum
of competition development
performance dynamic
User-
Product generated Adding sensor
design using content networks to
VR/AR worlds
Medical
Platform
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43. Ecosystem around a platform
- from “Virtual World Monetization”, Stanford, 2010
Behavior Therapy Fitness
therapy sessions support
“Normalize” very
Behavior
different people and
alteration
activities so that they
through avatar
can exercise together
association
Medical
Platform
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44. Distribution/Revenue Models
Resell spaces
– branded or courses Certification Grants and
white label
federal
Per virtual funding
patient per Per clinical
subscriptions session per
year
patient e.g.
License for therapy
bundle of seats Per actor- Link with music and
per year hour movie assets to drive
Virtual
serious uses
goods
Freemium Loss of federal
reimbursement
Rent a Medical (Medicare /
seat or Platform Medicaid)
space
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45. In conclusion …...
Virtual environments can impact the cost of healthcare
- By changing attitudes by training with role playing
A virtual environment is an entire ‘system’ around a
virtual patient (or patients)
To succeed, virtual environments must scale up to
include multiple business models and a business eco-
system
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47. THANK YOU
& QUESTIONS
Slides are on SlideShare.
Search for ‘parvatidev’ or ‘clinispace’
Email us at
info@clinispace.com
parvati@clinispace.com
© 2012 IIL Inc. Serious Play, August 21, 2012 47
Notas del editor Multi-player virtual worlds are well-suited to training teams to work together. My favorite is a scientific meeting in which I participated in the World of Warcraft. We all assembled in this great hall – both humans and non-humans Then we all rushed across the countryside to the quiet remote spot for our discussion I would surely have dies many grisly deaths if I had nothad the protection of my staffer an experienced level-60 witch We ended the session with this quest on top of a hill The meeting itself went on fro two days And was reported in Science magazine Does anyone remember … Those were the wild and woolly days of virtual environments, in 2008 When everyone jumped in, and then they all jumped out. But we had been building medical virtual environments since 2004 Sandbox is actually very difficult to do well. If these are at two ends of a balance scale,build something that is mostly Campaign, with a little Sandbox. Much more likely to be successful and to satisfy. Of course, the end goal is a richly detailed Virtual Hospital, a Sandbox, in which the stories and the learning are emergent. There were so many ideas they did not fit on a slide. Direct additions to a medical virtual environment Ways of increasing the richness of the environment