Description of our game to improve the implementation of the surgical checklist. This game has been developed by UCM group using eAdventure, in collaboration with Surgical Department at UCM and Hospital Clinico San Carlos, the patient safety unit at Doce de Octubre Hospital and the LCS-MGH e-learning group

1. Improving the Application of the Surgical
Checklist Using Serious Games
Games for Health Europe (2013), Amsterdam, NL
Baltasar Fernandez-Manjon,
e-UCM research group, www.e-ucm.es
balta@fdi.ucm.es , @BaltaFM
Slides will be available at SlideShare

2. About me and context
‣ CS Professor at Complutense U.
Director of e-UCM
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‣ e-UCM research group about
Learning technologies
15 researchers
Serious games
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Application to the medical domain
European projects
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GALA
SEGAN
CHERMUG
Cooperation with MGH-Harvard University
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www.e-ucm.es

3. Question:
Which instrument reduce the rate of
deaths and complications in surgery by
more than one third ?
N Engl J Med 2009; 360:491-499

4. 4
http://www.who.int/patientsafety/safesurgery/en/index.html

5. 5

6. When implementation leaders did not explain why or show how the
checklist should be used, staff neither understood the rationale behind
implementation nor were they adequately prepared to use the checklist,
leading to frustration, disinterest, and eventual abandonment despite a
hospital-wide mandate
Conley, et at (2011). Effective surgical safety checklist implementation. Journal of the
American College of Surgeons, 212(5), 873–9
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7. eAdventure game platform
Open code authoring environment for the production of point-and-click
adventure games & immersive learning simulations
e-adventure.e-ucm.es
No programming required and easy to include Learning Analytics in
eAdventure games

8. Game development approach

9. CheckList Game
Raise awareness about the checklist
• Learn how to apply it properly
• Let practice it application in a free-risk environment
In cooperation with UCM (Surgical Department), Hospital
Doce de Octubre, LCS-MGH
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10. Game description
‣ Role selection
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Checklist coordinator
‣ Case based game
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Two cases with features that covers most common
checklist errors

11. Game mechanics
‣ Procedure freely explored
‣ Three stages

12. Game elements and Feedback
‣ Randoms events or team not cooperating
‣ Feedback

13. Evaluation
‣ Formative evaluation at UCM and at MGH/Harvard
‣ Summative evaluation is being carried out in Madrid

14. http://first-aid-game.e-ucm.es First visit to OR, with UCM
http://www.chermug.eu
With ONT, educ@ONT

15. References
•eAdventure. http://e-adventure.e-ucm.es/
•MGH Learning Lab. http://www.massgeneral.org/learninglab/
•First Aid Game. http://first-aid-game.e-ucm.es/
•Marchiori EJ, Ferrer G, Fernández-Manjón B, Povar Marco J, Suberviola González JF,
Giménez Valverde A. Video-game instruction in basic life support maneuvers. Emergencias.
2012;24:433-7. (download PDF)
•Pablo Moreno-Ger, Javier Torrente, Julián Bustamante, Carmen Fernández-Galaz, Baltasar
Fernández-Manjón, María Dolores Comas-Rengifo (2010). Application of a low-cost web-based
simulation to improve students’ practical skills in medical education. International Journal of Medical
Informatics 79(6), 459-467 (doi:10.1016/j.ijmedinf.2010.01.017).
•Brian Johnston, Liz Boyle, Ewan MacArthur, Baltasar Fernández-Manjón (2013). The role of
technology and digital gaming in nurse education. Nursing Standard, Vol 27, No 28, pp 35-38, March
•Ángel del Blanco, Baltasar Fernández-Manjón, Pedro Ruiz, Manuel Giner (2013). Using
videogames facilitates the first visit to the operating theatre. Medical Education. Vol 47, Issue 5, pp.
519-520
•Borro-Escribano B., Martínez-Alpuente I., del Blanco A., Torrente J., Fernández-Manjón B.,
Matesanz R. (in press) Application of Game-Like Simulations in the Spanish National Transplant
Organization. Transplantation Proceedings Journal.
•Borro-Escribano B. et Al. (in press) Developing Game-Like Simulations to Formalize Tacit
Procedural Knowledge: The ONT Experience. Educational Technology Research and Development
Journal. Springer

16. Our current projects
Increasing patient safety
using games
Modelling/teaching medical procedures at
National Transplant Organization