iPadEMR Pain Management Simulator: Tablet-based Skills Development

iPadEMR 疼痛管理模拟器：基于平板电脑的技能开发

基本信息

批准号：
8669828
负责人：
Mary P Metcalf
金额：
$ 49.08万
依托单位：
CLINICAL TOOLS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-06-01 至 2017-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8669828
关键词：
Address Adult Area Attention Attitude Clinical Clinical Competence Clinical Skills Collaborations Communication Competence Computerized Medical Record Crossover Design Data Data Analyses Decision Making Dentists Development Diagnosis Discipline of Nursing Education Educational Assessment Educational process of instructing Effectiveness Environment Evaluation Faculty Feedback Focus Groups Future Genetic Crossing Over Goals Health Insurance Portability and Accountability Act Health Personnel Health Professional Healthcare Systems Individual Intervention Interview Knowledge Learning Learning Module Length Life Longitudinal Studies Marketing Measures Medical Students Medicine Nurses Nursing Students Online Systems Outcome Outcome Assessment Outcome Measure Pain Pain Measurement Pain management Participant Patients Performance Pharmaceutical Preparations Phase Physical Examination Physicians Pilot Projects Process Public Health Quality of Care Randomized Recommendation Recording of previous events Reporting Resources Self Efficacy Simulate Solutions Structure Students Surveys Tablets Testing Time Training Training Programs Waiting Lists base chronic pain clinical practice cost design evidence based guidelines experience improved instructor instrument member novel opioid misuse preference prevent programs prototype satisfaction screening simulation skills tool treatment planning usability web site

项目摘要

DESCRIPTION (provided by applicant): An estimated 116 million US adults suffer from chronic pain at an estimated cost of $635 billion and, unfortunately, existing pain management training is not adequately preparing health professionals to address this area [1]. To address this gap we propose to create iPad EMR Pain Management Simulator, an iPad- based application to provide a learning and shared experience environment for health professional students to enhance their skills related to pain assessment and control. The simulated EMR will echo core features of any EMR used in clinical practice and present case simulations. For learners it will provide easy and affordable access to standardized skill-based pain management training. For faculty/educators it will assess: 1) a student's clinical competence and skills in diagnosing and treating patients with pain, while 2) decreasing the chance of opioid misuse and diversion. For each iPad EMR simulated pain management case, health professional students will collect data, examine the patient, choose the appropriate course of action, outline a treatment plan, and receive feedback. Feedback from choices and decisions made will be based on best practice. The instructor will have control over the clinical components of the application by providing increasing or decreasing clinical information, challenge, feedback, or prompts. Phase I will develop a prototype and perform basic usability of the potential intervention based on the active involvement of different target audiences: 1) health professional students in medicine and nursing, and 2) educators in medicine and nursing. Phase I will proceed with a carefully planned formative analysis involving needs analysis surveys, semi-structured interviews, guidance from consultants, creation of prototype experiences, and usability assessments. Phase II will complete the program and conduct an evaluation using a randomized, cross-over [wait-list control], pretest-posttest design with an estimated 60 participants from medicine and nursing. We will specifically assess if the simulated learning and shared experience environment positively impacts target clinical skills and increases core competencies related to assessment and treatment of pain. Phase III will market the product actively via existing and novel partnerships with Clinical Tools. We will pursue additional tailoring of the content to specific audiences beyond physicians and nurses such as dentists, P.A.s, physical therapists and others. Our solution will support ongoing assessment of the training to determine areas of weakness which can be refined and improved over time.

描述（由申请人提供）：估计有1.16亿美国成年人患有慢性疼痛，估计成本为6350亿美元，不幸的是，现有的疼痛管理培训并没有充分准备卫生专业人员来解决这一领域[1]。为了解决这一差距，我们建议创建iPad EMR疼痛管理模拟器，这是一种基于iPad的应用程序，旨在为卫生专业学生提供学习和共享的经验环境，以增强其与疼痛评估和控制有关的技能。模拟的EMR将呼应用于临床实践和目前病例模拟的任何EMR的核心特征。对于学习者来说，它将为基于技能的疼痛管理培训提供便捷且负担得起的访问。对于教师/教育工作者，它将评估：1）学生在诊断和治疗疼痛患者方面的临床能力和技能，而2）减少阿片类药物滥用和转移的机会。对于每个iPad EMR模拟疼痛管理案例，卫生专业学生将收集数据，检查患者，选择适当的行动方案，概述治疗计划并接收反馈。选择和决策的反馈将基于最佳实践。讲师将通过提供增加或减少临床信息，挑战，反馈或提示来控制应用程序的临床组成部分。第一阶段将根据不同的目标受众的积极参与来开发一个原型，并对潜在干预的基本可用性：1）卫生专业学生从事医学和护理，以及2）医学和护理的教育者。第一阶段将进行精心计划的形成性分析，涉及需求分析调查，半结构化访谈，顾问的指导，创建原型经验以及可用性评估。第二阶段将完成该计划，并使用随机的，交叉的[等待名单控制]进行评估，预测试台式设计，估计有60名医学和护理的参与者。我们将特别评估模拟的学习和共享经验环境是否会对目标临床技能产生积极影响，并提高与疼痛评估和治疗有关的核心能力。第三阶段将通过临床工具与现有和新颖的合作伙伴关系积极销售该产品。除了医生和护士，例如牙医，P.A.S，物理治疗师等，我们还将为特定受众介绍内容的额外剪裁。我们的解决方案将支持对培训的持续评估，以确定弱点领域，随着时间的流逝，这些领域可以完善和改善。