AR code card simulation app
for pediatric resuscitation training

Project information

Year: 2019-2020

Role: Qualitative study development and analysis team, focus group facilitator (assistant)

Collaborator: Abigail Wooldridge, Joytika Rowchowdhury, Ashley Mitchell, Keith Hanson, Elsa Vazquez-Melendez, Harleena Kendhari, Nadia Shaikh, Teresa Riech, Matthew Mischler, Sara Kryzaniak, GInger Barton, Kyle T. Formella, Zachary R. Abbott, John N. Farmer, Rebecca Ebert-Allen, Trina Croland

Challenge

Conducting safe and timely pediatric resuscitations require clinicians’ knowledge of the ‘what’ and the ‘where’ of items in a weight-based pediatric code cart. However, code cart for pediatric patients is organized based on the length and weight ranges of patients, hence resulting in variation in code cart organizations. Additionally, code carts are usually locked, except during the infrequent emergency when pediatric resuscitation is needed or during training sessions, which results in a lack of familiarity with pediatric code carts. To increase access to the code cart, engineers at the Jump Simulation Center developed an Augmented Reality (AR) application for mobile phones to provide demand access to a fully stocked, standardized, weight-based virtual pediatric code cart, called Code Cart AR.

What is the feasibility of Code Cart AR app for training clinicians about pediatric code cart content?

How do we improve the usability of Code Cart AR app to support pediatric code cart training?

Process

System-based design recommendations for AR health care apps

Adapted from “Table 2. Systems-based design recommendation for augmented reality health care applications” in:

Wooldridge, A. R., Ramadhani, W. A., Hanson, K., Vazquez-Melendez, E., Kendhari, H., Shaikh, N., Riech, T., Mischler, M., Krzyzaniak, S., Barton, G., Formella, K. T., Abbott, Z. R., Farmer, J. N., Ebert-Allen, R., & Croland, T. (2022). Walking the line: Balancing performance barriers and facilitators in an augmented reality mobile application for paediatric code cart training. Ergonomics, 65(3), 334–347. https://doi.org/10.1080/00140139.2021.1954685

Acknowledgement

This work was supported by the Jump Applied Research for Community Health through applied research in Engineering and Simulation (ARCHES) Endowment through the Health Care Engineering Systems Centre under Grant [number p-182].

Code Cart AR app information: https://www.osfhealthcare.org/innovation/what/applications/code-cart/

Related publications

  • Wooldridge, A. R., Ramadhani, W. A., Hanson, K., Vazquez-Melendez, E., Kendhari, H., Shaikh, N., Riech, T., Mischler, M., Krzyzaniak, S., Barton, G., Formella, K. T., Abbott, Z. R., Farmer, J. N., Ebert-Allen, R., & Croland, T. (2022). Walking the line: Balancing performance barriers and facilitators in an augmented reality mobile application for paediatric code cart training. Ergonomics, 65(3), 334–347. https://doi.org/10.1080/00140139.2021.1954685

  • Wooldridge, A. R., Morgan, J., Ramadhani, W. A., Hanson, K., Vazquez-Melendez, E., Kendhari, H., Shaikh, N., Riech, T., Mischler, M., Krzyzaniak, S., Barton, G., Formella, K. T., Abbott, Z. R., Farmer, J. N., Ebert-Allen, R., & Croland, T. (2022). Interactions in sociotechnical systems: Achieving balance in the use of an augmented reality mobile application. Human Factors, 1–25. https://doi.org/10.1177/00187208221093830

  • Ramadhani, W. A., Wooldridge, A. R., Roychowdhury, J., & Mitchell, A. (2020). Negotiating Time and Space: Investigating the Pediatric Code Cart Augmented Reality Application. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 64(1), 1365–1366. https://doi.org/10.1177/1071181320641326

  • Morgan, J., Wooldridge, A. R., Composto, A., Mitchell, A., Ramadhani, W. A., Roychowdhury, J., Hanson, K., Vazquez-Melendez, E., Kendhari, H., Shaikh, N., Riech, T., Mischler, M., Krzyzaniak, S., Barton, G., Formella, K. T., Abbott, Z. R., Farmer, J. N., Ebert-Allen, R., & Croland, T. (in press). Evaluating the Efficacy of a Mobile, Augmented Reality Pediatric Code Cart Education Application. Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 64th Annual Meeting of Human Factors and Ergonomics Society, Chicago.