About this project
The problem we solve: Needle procedures are common in childhood and are associated with a high degree of pain and fear. There is growing recognition that painful medical procedures in childhood can have long-term consequences. Unmanaged pediatric pain can lead to needle phobia and healthcare avoidance in adulthood. One large survey found that 24% of parents and 63% of children were afraid of needles. A second survey of 2,160 adults found that needle fear was the primary reason for immunization non-compliance for 23% of respondents. Children who have poorly controlled pain with procedures may have increased pain and anxiety with subsequent procedures. Parents and medical staff feel stress when a child’s pain is poorly controlled. Evidence-based interventions to reduce pain and anxiety are vastly underutilized. Education in the emergency department is challenging, since resident physicians work varying shifts, have little down-time, and are not available at a common time for teaching.
About our solution: We are designing an electronic game to teach healthcare providers simple, inexpensive, evidence-based techniques to decrease procedural pain and anxiety. Techniques include topical numbing agents such as the J-Tip (which uses a carbon dioxide cartridge to inject lidocaine subcutaneously), intranasal medications for pain and anxiety, distraction during procedures, allowing parents to hold children in a comfortable yet safe position during procedures, and using language that is positive and empowering to children. While we are initially focusing on resident physicians, we anticipate adapting our game to involve many other learners, including practicing clinicians in the fields of family medicine, pediatrics, and emergency medicine; nurses; and medical students. We will utilize mobile gaming technology, allowing for flexible, convenient, "just in time" learning. Learners will treat virtual patients, scoring points and unlocking new levels as they play. Progress to date: We have conducted a thorough literature review and compiled 17 evidence-based learning objectives with corresponding game scenarios. We have worked within our hospital and institution to plan innovative methods to integrate our game into the current educational curriculum. Key stakeholders (residency program directors, child life specialists, pediatric emergency medicine leaders) are collaborating with us.
About Our Team
Dr. Jennifer Dilts, DO, MHA Pediatrics , Practicing Physician Location: Kansas City, Missouri Medical school: U. of Missouri-Kansas City School of Medicine Bio: Dr. Dilts completed her pediatric residency at Riley Hospital for Children in Indianapolis. She came to Children's Mercy Hospital after spending 3 years as a rural community pediatrician. As an urgent care pediatrician, she leads quality improvement projects related to pain and anxiety management. Her most recent project won first place at a national conference. She is currently a scholar in the Academic Pediatric Association's Educational Scholars Program.
Practice: The Children's Mercy Hospital Hospital Affiliation: The Children's Mercy Hospital Title: Assistant Professor of Pediatrics Twitter:@jennnifer_dilts LinkedIn:https://www.linkedin.com/in/jennifer-dilts-40611b3a?
About Team Members
Pediatric Emergency Medicine Fellow, The Children's Mercy Hospital; Clinical Instructor, UMKC School of Medicine, MD Biography: Dr. Jain has a passion for improving pain management and providing medical education in the acute care setting. He has completed advanced quality improvement training and applied it to improving procedural pain management. His work in this field has been nationally recognized by the American Academy of Pediatrics and the Academic Pediatric Association. Starting July 2016, Dr. Jain will serve as Director of Quality Improvement in the Division of Emergency Medicine at Children's Mercy Hospital. LinkedIn:https://www.linkedin.com/in/shobhit-jain-39640aab Mark Hoffman
Director, Center for Health Insights, UMKC School of Medicine; Assistant Dean of Educational Innovation, UMKC School of Medicine; UMKC Assoc. Professor of Biomedical & Health Informatics & Pediatrics; Director of Translational Bioinformatics, The Children's Mercy Hospital, PhD Biography: Dr. Hoffman is an experienced leader of complex technology development projects. After earning his PhD In Bacteriology from the University of Wisconsin, he joined Cerner Corporation where he eventually served as Vice President of Research. Now he shares his time between UMKC School of Medicine and Children’s Mercy Hospital. His team provides data platforms to support biomedical researchers. He recently won the wearable thermometers category in the Google Wearables in Healthcare Challenge. Twitter:@markhoffmankc LinkedIn:https://www.linkedin.com/in/hoffmanma Kadriye Lewis
Director of Evaluation and Program Development, Department of Graduate Medical Education, The Children's Mercy Hospital, EdD Biography: Prior to coming to Children’s Mercy, Dr. Lewis worked for Cincinnati Children’s Hospital Medical Center for more than 13 years. She played a major role in the development of the Online Master's Degree in Education Program for Healthcare Professionals. Dr. Lewis is active in medical education research. Due to her extensive experience in e-learning and web-based technologies, she has a particular interest in instructional design and implementation of innovative technologies. Twitter:@drlewis714 LinkedIn:https://www.linkedin.com/in/kadriye-o-lewis-ed-d-b6a16810
About Our Company
The Children's Mercy Hospital Location: Kansas City, Missouri Product stage: idea Sales: Working on it Employees: 200+
How We Help Patients
When a child has even a single negative healthcare experience, subsequent doctor visits can be traumatic. Many children develop needle phobia, which may persist into adulthood and lead to healthcare avoidance. Many techniques and medications can make procedures more pleasant. And yet, often these techniques and medications aren't utilized! When healthcare providers understand the powerful negative implications for poorly managed childhood pain, they will be motivated to prevent them. Our mobile game teaches healthcare providers how to optimally manage pain and anxiety, thus potentially preventing the development of needle phobia. This leads to more immunizations, more preventive care, and happier, healthier patients.
How We Help Education
Sophisticated web-based games offer numerous advantages over traditional learning methods, including real-world application, increased learner engagement, and enhanced collaboration. Learners are able to make risk-free clinical decisions with immediate feedback. Studies show that educational games are well-received by learners, including medical students and residents. Learning analytics embedded in educational games give instructors increased information about their learners, allowing them to teach more effectively. Mobile gaming technology allows learners to participate on their own timeframes and at multiple locations (e.g. at the hospital, in a clinic, or at home).
How We Help Physicians
Most physicians receive little (if any) formal training regarding outpatient pain and anxiety management. Our mobile educational game allows physicians to learn evidence-based techniques at times and places that are convenient for them. When physicians utilize techniques to minimize pain and anxiety, their patients are more satisfied and the procedures are often easier and faster. Studies have confirmed that healthcare providers experience higher job satisfaction when their patients experience less pain.