Avni Khatri*, Lab of Computer Science, Massachusetts General Hospital, Boston, United States Carl Robert Blesius*, Harvard Medical School and Lab of Computer Science, Massachusetts General Hospital, Boston, United States Mark Ottensmeyer, Harvard Medical School and Simulation Group, MGH Center for Integration of Medicine and Innovative Technology, Boston, United States Michael Richard Steigman*, Lab of Computer Science, Massachusetts General Hospital, Boston, United States James Gordon, Harvard Medical School and Massachusetts General Hospital, Boston, United States Track: Practice Presentation Topic: Web 2.0 approaches for clinical practice, clinical research, quality monitoring Presentation Type: Poster presentation Submission Type: Single Presentation Last modified: 2012-09-12

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Every trainee, provider, and care team should have regular opportunities for dedicated clinical practice and feedback in a risk-free environment to achieve and maintain expert performance in order to enhance patient safety. To this end, we are working to fully integrate clinical simulation as a quality and safety mechanism in a hospital setting. We conduct simulations in a centralized laboratory and in actual clinical spaces and have implemented an end-to-end suite of low-cost open source applications and hardware systems for recording, tracking, and assessing this training.

This suite of applications includes an employee identification system, which consists of a portable, Arduino-based HID proximity card reading system that piggybacks on the existing identification/building access cards and badge reading hardware used within the Partners Healthcare System. It also includes in-house middleware to transmit the data from this hardware based system to a server-based application. There is also an application which associates badge numbers with network logins. These are integrated with a Web-based custom learning management system, which allows administrators to manage and schedule tasks, resources, and simulation sessions being run in the lab and throughout the hospital. It also includes a reporting component allowing administrators to view session and group data associated with simulation trainings in the Learning Lab.

Provider profiles allow administrators to view detailed data about the training experiences of individual care givers. Administrators can see which tasks a trainee has been assigned to and which tasks have been completed. The administrator can also see session details for the completed tasks including session date, location, participants, instructors, notes, and video.

This combination of open hardware and open source software facilitates hospital-wide distributed learning and tracking that can be quickly adapted to meet different organizational needs in a constantly evolving clinical environment. We are working towards generalizing and improving this low-cost simulation administration suite so it can be adopted easily and cost-effectively by other hospitals.