Recent terrorist incidents remind us of the need for coordinated and effective responses to improve patient safety, victim survival, and the safety of first responders. Current simulations to train for situations like this generally include paper cases or analog recreation of mass casualty incidents (MCI). These simulations typically are comprised of teams of emergency responders triaging a combination of moulaged manikins and actors. The drills can be made more realistic by adding noise, smoke, sirens and other distractions like media and police presence depending on the resources available. Although these simulations may be effective, they are expensive to construct and maintain, are often not duplicable by other institutions, vary in their degree of reality and fidelity simulating the actual event, and rely fully on human evaluators to assess the participants. Virtual reality (VR) offers the opportunity to simulate highly immersive recreations of real life situations. VR provides an excellent approach for simulating complex scenarios such as mass casualty incidents, allowing students, staff, and first responders the ability to train in environments that more closely mimic real-life situations. Recent improvements in VR technology, hardware, and software now enable the creation of realistic, highly immersive simulations that can be utilized by a wide variety of trainees and institutions in a cost-effective manner. VR systems can be designed to include real-time, automated, unbiased assessment of whether educational or training objectives are being met. VR systems also enable replay ability at a lesser cost than analog scenario simulations of MCI. Finally, systems can be designed to provide different levels of difficulty or interchangeable scenarios using procedural variations. The overall goal of the present proposal is to evaluate virtual reality as a training and assessment tool for simulating a mass casualty incident following a subway bombing, and assess the effectiveness of these simulations compared to existing analog approaches. The proposal describes the design, development, evaluation, assessment, packaging, and deployment of a highly immersive virtual reality simulation that can be utilized by a wide variety of trainees at universities, medical schools, training programs, and local fire, safety, and EMS departments.

Public Health Relevance

This project will result in the design, development, evaluation, assessment, packaging, and deployment of a highly immersive virtual reality simulation that can be utilized by a wide variety of trainees at universities, medical schools, training programs, and local fire, safety, and EMS departments. The simulation created will enable first responders to train and become proficient in triaging mass casualty incidents to improve patient safety, victim survival, and the safety of first responders.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Research Demonstration and Dissemination Projects (R18)
Project #
5R18HS025915-03
Application #
9912123
Study Section
Healthcare Patient Safety and Quality Improvement Research (HSQR)
Program Officer
Chew, Emily
Project Start
2018-07-06
Project End
2023-04-30
Budget Start
2020-05-01
Budget End
2021-04-30
Support Year
3
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Ohio State University
Department
Obstetrics & Gynecology
Type
Schools of Medicine
DUNS #
832127323
City
Columbus
State
OH
Country
United States
Zip Code
43210