TY -的AU -卡茨,丹尼尔AU -沙阿,Ronak AU -金,伊丽莎白盟——公园、张盟——沙Anjan AU -莱文,亚当AU -伯内特,Garrett PY - 2020 DA - 2020/3/12 TI -利用语音虚拟现实的高级心脏生命支持组长进修:前瞻性研究乔- J地中海互联网Res SP - e17425六世- 22 - 3 KW -视频游戏KW -实验游戏KW -虚拟现实KW -高级心脏生命支持AB -背景:在美国，每年心脏骤停的发生率持续增加，但不同医院的住院心脏骤停存活率差异很大。目前的训练方法昂贵、耗时且难以规模化，这就需要改进高级心脏生命支持(ACLS)训练。虚拟现实(VR)已被提出作为高保真仿真(HFS)在一些环境中的替代或辅助。到目前为止，还没有任何评估探讨过VR项目的能力，以检查技术和行为技能，并证明成本比较。目的:本研究旨在探讨基于语音的VR ACLS团队领导复习与HFS的比较。方法:这项前瞻性观察研究在一个学术机构进行，由25名研究生二年级住院医生组成。参与者被随机分配到HFS或VR训练中，然后在2周的洗脱期后跨组。参与者根据技术和非技术技能进行评分。参与者还完成了对模块的自我评估。 Proctors were assessed for fatigue and task saturation, and cost analysis based on local economic data was performed. Results: A total of 23 of 25 participants were included in the scoring analysis. Fewer participants were familiar with VR compared with HFS (9/25, 36% vs 25/25, 100%; P<.001). Self-reported satisfaction and utilization scores were similar; however, significantly more participants felt HFS provided better feedback: 99 (IQR 89-100) vs 79 (IQR 71-88); P<.001. Technical scores were higher in the HFS group; however, nontechnical scores for decision making and communication were not significantly different between modalities. VR sessions were 21 (IQR 19-24) min shorter than HFS sessions, the National Aeronautics and Space Administration task load index scores for proctors were lower in each category, and VR sessions were estimated to be US $103.68 less expensive in a single-learner, single-session model. Conclusions: Utilization of a VR-based team leader refresher for ACLS skills is comparable with HFS in several areas, including learner satisfaction. The VR module was more cost-effective and was easier to proctor; however, HFS was better at delivering feedback to participants. Optimal education strategies likely contain elements of both modalities. Further studies are needed to examine the utility of VR-based environments at scale. SN - 1438-8871 UR - //www.mybigtv.com/2020/3/e17425/ UR - https://doi.org/10.2196/17425 UR - http://www.ncbi.nlm.nih.gov/pubmed/32163038 DO - 10.2196/17425 ID - info:doi/10.2196/17425 ER -