Enhancing Code Blue Education Performance with

xAPIDave BauerDirector of Learning TechnologiesMedStar Simulation Training and Education Lab

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TeamDave Bauer, Itay Moav, Alex Walker, Cheryl Camacho, Rob Hafey

Brooks Alford, Andrew Downes, Tim Chudy, Ervin Puskar, Geoff Alday

Nick Stephenson, Emlyn O'Regan

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MedStar SiTEL’s mission is to create an adaptable learning infrastructure and provide resources to meet MedStar’s current and emergent learning needs.

Learning solutions and infrastructure organization of MedStar Health

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Code Blue at MedStar• Improving Code Blue performance a top

MedStar priority• Performance Issues:

– Delays in defibrillation. Lack of device knowledge– Lack of process/algorithm knowledge– Team coordination issues

• communication, sharing of knowledge.• Team members afraid to ask for help.

– Delays in team arrival due to paging delays.– Rapid Response Teams = fewer opportunities for

others

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Defibrillator task trainer app

May 1, 2023

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In Situ Mock Code Blues

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May 1, 2023

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Watershed

xAPI Apps

SiTEL LMS

Defibrillator Game

“Course” completion

“Course” Attendance

Scenarios Attempted and Completed, Failed steps

Classroom Attendance, User/Org data

User/Org data

User auth, scenarios completed

Code Blue Attendance,

KPIsChecklist

items

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Observer Checklist

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Analysis: Mock Codes

• Overall, how are clinicians performing on mock Code Blues?

• Which organizations are the top performers on mock Code Blues?

• How are departments in MedStar Georgetown University Hospital performing on Code Blues?

• Which clinicians haven't participated in mock code blue?

• Which mock Code Blue steps are hard?

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Analysis: Defibrillator App

• How many clinicians are using the app?• How does app activity change over time?• Which clinicians are the top users and

performers on the app?• Overall, which steps are clinicians having trouble

with?• Which Zoll steps in [Maintenance | Auto defib |

Manual Defib | Cardioversion | Pacing] are clinicians having trouble with?

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Analysis: Compare Modalities

• Does App use affect Code Blue performance?• Does time between app usage and mock code

blue affect performance?• Does the time between AHA course and mock

Code Blue affect performance in the mock code?

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