Anatomy-augmented visual training on mobile devices for rapid dissemination of best practices during pandemics

移动设备上的解剖增强视觉训练，可在大流行期间快速传播最佳实践

• 批准号: 10154515
• 负责人: ROBERT J LEVINE
• 金额: $ 25.16万
• 依托单位: ARCHIEMD, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-03-03 至 2024-03-02
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10154515
• 关键词: Adoption; Anatomy; Area; COVID-19 pandemic; COVID-19 patient; Caring; China; Clinical; Clinical Skills; Collaborations; Comprehension; Continuous Positive Airway Pressure; Control Groups; Deltastab; Development; Discipline of Nursing; Disease; Dysbarism; Effectiveness; Epistaxis; Event; Exhibits; Face; Feedback; Floor; Freedom; Future; Health; Healthcare Systems; Hospitals; Human Resources; Instruction; Intervention; Knowledge; Knowledge acquisition; Learning; Life; Manuals; Medical; Medical Staff; Methods; Michigan; Nose; Nurses; Nursing Staff; Nursing Students; Outcome; Oxygen; Oxygen Therapy Care; Participant; Patient Care; Patient-Focused Outcomes; Patients; Performance; Phase; Positioning Attribute; Procedures; Registered nurse; Reporting; Resources; Respiratory Therapy; Statistical Data Interpretation; Stress; Stretching; System; Technology; Testing; Time; Training; Training Activity; Trauma; Universities; Update; Visual; Work; base; computer generated; driving skills; experience; flexibility; handheld mobile device; improved; instructor; lung injury; member; mobile application; models and simulation; novel; operation; pandemic disease; response; simulation; skill acquisition; skills; standard of care; tool; university student; usability; user-friendly; ventilator-associated pneumonia; virtual patient

Abstract ArchieMD is developing a mobile medical training application that will facilitate rapid dissemination of continuously evolving knowledge and procedural skills to nurses, which will allow staff to quickly expand capabilities to meet needs in the event of a pandemic. The ongoing COVID-19 pandemic has put an immense strain on health care systems worldwide, and the nursing shortage—which long predated the onset of the pandemic—has further exacerbated the challenge of human resource management as hospitals struggle to take on the growing number of patients. As a result, many nurses are being re-allocated from other departments and out-of-hospital positions, assuming new responsibilities for which they have limited training, due to time and resource constraints and the need for instructor oversight, which places an additional burden on senior staff. Furthermore, standard-of-care procedures may quickly become outdated as clinicians learn more about the novel disease, and as hospitals are compelled to modify procedures to better manage limited resources. To close this gap, ArchieMD proposes to develop a mobile application that will support self-guided instruction, training, and testing on key respiratory therapy procedures. The mobile app format supports accessibility and rapid roll-out of updated procedures, and ArchieMD's dynamic, anatomy-augmented visuals have been demonstrated to significantly improve learning comprehension. For this Phase I project, ArchieMD will 1) Develop simulations for oxygen therapy and CPAP administration, incorporating realistic internal anatomy visuals to support deeper learning, and 2) Carry out a user study to evaluate the performance of the medical training application in transferring knowledge and skills in these procedures. Additive instructional, training, and testing modules will leverage incorporated visuals to efficiently convey contextual information in early learning stages and support long-term retention of concepts. By including dynamic internal anatomy visuals over the virtual patient, users are able to gain a deeper understanding of the procedure's real-time impact on the patient's bodily functions and health outcomes. Collaboration with nursing students at the University of Michigan for the user study will demonstrate usability and functionality of the application, as well as inform future development needs. Successful completion of these specific aims will provide a proof-of-concept for the proposed training platform and result in development of a minimum viable product. As envisioned, ongoing development will result in a commercially viable mobile application with a suite of medical procedure training modules, along with in-hospital task managing features that will assist with distribution of re-allocated staff based on training module completion status. This technology will support self-guided, just-in-time training to reduce burdens on upper-level staff and expand the capabilities of the nursing workforce to tend to patients during a current or future pandemic. These easily accessed training simulations will result in improved clinical skills, a flexible taskforce, and ultimately, better patient care.

抽象的 Archiemd正在开发一个移动医疗培训应用程序，该应用程序将有助于快速传播 不断向护士发展知识和程序技能，这将使员工能够迅速扩展 在大流行时满足需求的能力。持续的共同19-大流行造成了巨大的 全球医疗保健系统以及护士短缺的压力 - 长期以来呈现 大流行 - 随着医院难以接受的，人力资源管理的挑战进一步加剧了 关于越来越多的患者。结果，许多护士正在其他部门重新分配 由于时间和 资源限制和对教师监督的需求，这对高级员工造成了额外的烧伤。 此外，随着临床医生了解更多有关的标准手术，可能会迅速过时 新型疾病，并且由于医院被迫修改程序以更好地管理有限的资源。到 缩小这一差距，考古提案，以开发一个将支持自我引导的指令的移动应用程序， 培训和对关键呼吸治疗程序的测试。移动应用程序格式支持可访问性和 快速推出更新的程序，以及考古的动态，解剖学的视觉效果 证明可以显着提高学习理解。对于这个阶段的项目，Archiemd将1）开发 氧疗法和CPAP给药的模拟，将现实的内部解剖效果纳入 支持更深入的学习，以及2）进行用户研究以评估医学培训的表现 在这些过程中传递知识和技能的应用。添加剂教学，培训和测试 模块将利用合并的视觉效果，以在早期学习阶段有效传达上下文信息 并支持概念的长期保留。通过在虚拟上包括动态的内部解剖视觉效果 患者，用户能够更深入地了解该过程对患者身体的实时影响 功能和健康结果。与密歇根大学的护士学生合作为用户合作 研究将证明应用程序的可用性和功能，并为未来的开发需求提供信息。 这些特定目标的成功完成将为拟议的培训平台提供证明 并导致最低可行产品的开发。如所设想的，持续的发展将导致 带有一套医疗程序培训模块的商业可行的移动应用程序以及院内 任务管理功能，这些功能将根据培训模块的完成有助于分配重新分配的员工 地位。这项技术将支持自我引入的，即时的培训，以减少上层员工的伯伦斯和 在当前或将来的大流行期间，扩大护士劳动力的能力倾向于患者。这些 轻松访问的培训模拟将提高临床技能，灵活的工作组，并最终 更好的患者护理。