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The Past, Present and Future of Medical Simulations
Asia Pacific Healthcare Simulation Conference 2016Kuala LumpurDavid Wortley
Topics● Simulations and Games● Simulations for Triage● Simulations of Medical Conditions● Smart Hospital Simulations● Real/Virtual World Simulations with live data● Enabling / Disruptive Technologies● Conclusions
Simulations and Games
Re-creating a physical experience in a virtual environment
Doctors and Nurses
Role Playing is a natural human way of learning
Why Healthcare Simulations ?● Patient Safety & risk reduction● Cost / Practicality of real-life scenarios● Rare conditions and events● Learner engagement● Debriefing opportunities from recorded
training sessions● Knowledge transfer from expert practitioners
Triage Trainer
Re-creating a physical experience in a virtual environment
Triage Trainer
Re-creating a physical experience in a virtual environment
Simulating Medical Conditions
Commercial games company skills applied to medicine
The Process Involved
Realism limited by the power of available technologies
Patient Rescue
Training Junior Doctors in A&E to recognise conditions and visualise outcomes
Multi-Disciplinary Major Incident Simulator(MMIS Virtual Reality)
Imperial College in London use virtual world simulations for disaster training
MMIS Features● MMIS enables multidisciplinary teams to rehearse their hospital’s major incident plan with any
situation involving a large influx of patients.● MMIS is a 3D immersive environment where managers and clinical staff can move about, review
patients and their clinical information, speak to one another and act on decisions.● A major incident ‘Silver’ controller can oversee the simulation, communicate with key staff, and
is appraised of arriving patients at all times.● The system logs all actions, clinical notes and decisions for later analysis and deliberation.● Timing factors can be applied to patient transfers and patient observation for realistic scheduling.● Teachers and trainers are able to script their own virtual patients to pose specific problems and
resource constraints.● Imperial College's virtual patients have been used by teams dispersed across 3 continents, with
access over the internet.● MMIS is accessed via standard web browsers and is configurable for hospitals around the globe
or for educational use by schools.
Imperial Virtual Hospital
Smart E-Hospital
Gamified Immersive Training in a 3D virtual hospital
Integrating Real/Virtual Worlds
Datascape Virtual Control Room Environment to visualise real data streams
RehAbility● Rehabilitation exercises after stroke, MS r
Parkinson● Reduces healthcare system costs ● Improves adherence to rehabilitative
therapy● Uses Microsoft Kinect to provide
customised exercises with off the shelf tech● Feedback to both patient and medical
practitioner● Avoids travel and expensive use of facilities● Personalised exercise routines● Win-win scenario
DOREMI● Promotes physical and cognitive wellbeing
and independence● Focus on physical activity, good diet, social
support and mental stimulation● Provides valuable feedback data to clinicians
and carers● Gamification provides both mental
stimulation and motivation for social and physical activity
http://www.doremi-fp7.eu/
Pegaso● Targets obesity in young people● Encourages healthy eating and exercise● Uses a pervasive game ● Combines wearable sensors, food diaries,
companion messaging and gamification strategies
● Game mechanics co-designed with teenage focus groups – “Zombies Attack Game”
● Short-term intervention leading to long-term lifestyle changes
http://www.pegasof4f.eu/
Enabling / Disruptive Technologies● Virtual Reality● Augmented / Mixed Reality● Sensors / Internet of things● Artificial intelligence● Machine Learning● Robotics● Cloud Computing● Wireless Broadband
● Mobile Devices● Natural interface devices● Big Data Analytics● Data Visualisation● Holographics● 3D Imaging● 3D printing● Smart Coaching
Internet of Things & Sensors
Biosensor technologies, Cloud computing, big data analytics,data visualisation and mobile apps will transform personal health management
Conclusions● Simulations recreate physical scenarios in virtual
environments● Realism and fidelity limited only by the available technology● Gamification and games industry skills bring realism,
immersion and engagement● The future of medical simulations is the use of sensors and big
data to provide personalised interventions that merge physical and virtual worlds
● Big changes are on the way
They’re Simulations Jim but not as we know them !!!
Any Questions ?
The Past, Present and Future of Medical Simulations
Asia Pacific Healthcare Simulation Conference 2016Kuala LumpurDavid Wortley
