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Clinical Communication Simulation

Blending A.I and Realtime Avatars to replicate Clinical Scenarios

**Powered By Frameless Interactive's DRIFT

Any Device Any Platform

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VR and Mobile VR

Overview

The Conversational Trainer is a new AI-powered application that uses Synthetic humans to provide an immersive, realistic, and educational experience. Each character imitates human behaviour in multiple scenarios. With this application, educators can create their own scenarios and then communicate with them using AI and Digital Humans.

We currently have the following scenario mechanics enabled with beta access
- De Escalation
- Clinical Handover / ISBAR

Key features

  • The ability to create your own scenarios and then communicate with them
  • DRIFT AI is designed to give learners the opportunity to practice conversations and receive real-time feedback in a safe environment
  • Our 3D virtual avatar technology to provides an immersive and realistic experience

Learner Benefits

  • Apply communication and interpersonal skills during stressful situations.
  • Learn to recognise the signs of escalating behaviour in others and respond accordingly.
  • Understand the importance of effective communication in medical settings.
  • Develop the skills to apply effective communication techniques to de-escalate situations.

De Escalator

Practice De Escalation Techniques with an AI that can be escalated or deescalated based on what your say to them. The application also looks at eye contact, positioning (circle of influence) which will also adjust the AI mood.

  • Patients son is angry because his father is waiting to be seen.
  • Learn to recognise the signs of escalating behaviour in others and respond accordingly.
  • Understand the importance of effective communication in medical settings.
  • Develop the skills to apply effective communication techniques to de-escalate situations.
Case #1: Alan

Patients son is upset because his father is waiting for 2 hours

Case #2: Darius

Severe Stomach pain. Angry at admin staff

Handover - ISBAR

These scenarios will culminate in the verbal handover of the patient to a senior clinician.The handover will be recorded and available for the student to listen to and reflect on their performance. Implementation and experimentation using key word assessment within the recorded handover to allow for automated assessment and guidance on potential improvements to the handover the student provides.

  • Patients son is angry because his father is waiting to be seen.
  • Learn to recognise the signs of escalating behaviour in others and respond accordingly.
  • Understand the importance of effective communication in medical settings.
  • Develop the skills to apply effective communication techniques to de-escalate situations.
Case #1:Barry

Patient has COPD,

Case #2: Darius

Severe Stomach pain. Angry at admin staff

Many people are trained in Basic Life Support techniques, such as CPR, which are designed to maintain life until help is available. Hospital clinicians are trained in Advanced Life Support (ALS) techniques, which maintain life and also identify and resolve the cause of the cardiac arrest, so that a normal rhythm is restored.


Cardiac arrests don’t happen very often but are life or death events. Because the standard of care in hospitals is constantly improving, cardiac arrests are occurring less often. As a result, hospital clinicians are receiving less exposure to managing cardiac arrests but are still required to perform effectively as a team when they do occur.

The ALS-SimVR application is designed to provide leader training for clinicians managing a patient in a cardiac arrest., which allows a clinician to take the headset home and practice managing a patient in a cardiac arrest in the location and time of their choosing.

They do this by directing a virtual team in all the tasks required of a team managing a patient in this state. Rhythm interpretation, drug doses, pathology results, ABG results are all randomised to increase replicability for the user. Key skills of ALS management are also available as skills trainers within the application including handover practice, defibrillation, cardioversion and pacing and more in development.

Roadmap

Version Alpha
Avaliable Now

Supported Platforms
💻
Windows Flat Screen  
💻 Oculus Quest II
💻 Windows VR  

De Escalator: Chemical Dependency
Scenarios / Cases / Modules
De Escalator: Impatient Relative
Scenarios / Cases / Modules
De Escalator: Demanding Patient
Scenarios / Cases / Modules
Handover: Bleeding
Scenarios / Cases / Modules
Handover: Chest Pain
Scenarios / Cases / Modules
Handover: COPD
Scenarios / Cases / Modules
Handover: Sepsis
Scenarios / Cases / Modules
Handover: Respiratory
Scenarios / Cases / Modules
Communication Skills
Learner Outcomes
De Escalator: Verbal De-escalation
Learner Outcomes
De Escalator: OnRails: De-limit
Scenarios / Cases / Modules
De Escalator: OnRails: Flash Team
Scenarios / Cases / Modules
De Escalator: More Scenarios TBA
Scenarios / Cases / Modules
De Escalator: OnRails: Verbal de-escalation
Scenarios / Cases / Modules
Handover: OnRail: Recommendation
Scenarios / Cases / Modules
Handover: OnRail: Background
Scenarios / Cases / Modules
Handover: OnRail: Identification
Scenarios / Cases / Modules
Handover: More Scenarios TBA
Scenarios / Cases / Modules
Handover: OnRail: Assessment
Scenarios / Cases / Modules
Handover: OnRail: Situation
Scenarios / Cases / Modules
De Escalator: More Scenarios
Scenarios / Cases / Modules
Handover: More Scenarios
Scenarios / Cases / Modules

Creators, Partners & Contributors

Nathan Moore

Nursing Information Manager - DHS Western Sydney Local Health District FAIDH CHIA
Nathan Moore

Nursing Information Manager - DHS Western Sydney Local Health District FAIDH CHIA
I am an experienced Nursing leader currently focusing on ensuringclinician needs are considered and addressed in DHS projectsand rollouts. I have extensive experience in the implementation ofinnovative technologies into healthcare with a clinical backgroundin critical care nursing. I have worked for several years as a nurseeducator developing Simulation Based Learning for a range ofclinicians of all levels of experience.
Dr Jennifer Davids

Education Consultant and researcher with the Research and Education Network, WSLHD. She is interested in translating research into practice, innovative education technologies and education program development. The Code Black program is a classic example.
Nathan Moore

Nursing Information Manager - DHS Western Sydney Local Health District FAIDH CHIA
I am an experienced Nursing leader currently focusing on ensuringclinician needs are considered and addressed in DHS projectsand rollouts. I have extensive experience in the implementation ofinnovative technologies into healthcare with a clinical backgroundin critical care nursing. I have worked for several years as a nurseeducator developing Simulation Based Learning for a range ofclinicians of all levels of experience.
Martin Brown

Project Manager Innovative Technologies at The University of Sydney
Martin Brown

Project Manager Innovative Technologies at The University of Sydney
Experienced educator with a demonstrated history of working in theentertainment industry. Producer of Moulin Rouge, Co-producerof Romeo+Juliet and Art Director of Strictly Ballroom. Strongprofessional with a Masters of Humanities focused in Literature fromUniversity of Tasmania.




Philip Poronnik

Professor of Biomedical Sciences (Educational Strategy) at The University of Sydney
Philip Poronnik

Professor of Biomedical Sciences (Educational Strategy) at The University of Sydney
I am an experienced Nursing leader currently focusing on ensuringclinician needs are considered and addressed in DHS projectsand rollouts. I have extensive experience in the implementation ofinnovative technologies into healthcare with a clinical backgroundin critical care nursing. I have worked for several years as a nurseeducator developing Simulation Based Learning for a range ofclinicians of all levels of experience.

Custom Scenario's and Case's

Learning Goals Discovery

To integrate a scenario into your system we need to explore the scenario in-depth. With this information we can begin the proof of concept.

Conversation Design & Mechanics

We work out what's the best mechanics to use as learning and/or assessment tools.

Analytics and Performance Tools

Using our Learnsuite Simdashtm system we can provide you and your learners with tailored feedback tools to help measure and improve communication skills.

We customize it.

We customize our communication trainer to suite your needs. We currently have the ability to train:

- Clinical Handovers
- De Escalation or Emotional Feedback.

Evaluate

Simdashtm allows your to monitor learner performance, and provides a big picture view when comparing cohorts.

Feedback

As most of our trainers are in Beta stage (except ALS) your feedback is greatly appreciated and will help these trainers grow over time. As educators ourselves we know there is always a better way to learn or train.

42 votes illustration
Evolve

The more users and feedback our Digital Humans get the better they get.

Testimonials

" It is seldom in the realm of medical education do you come across a "game changer". The ALS-SimVR I believe is that rare beast. The realism and attention to detail means that even those only vaguely aware of the world of Virtual Reality can gain confidence and competence in team leading ALS scenarios."

Dr Alan GilesEmergency Physician, Medical educator

“I am of the generation that rarely uses this stuff, I am also of a generation that doesn’t play computer games, at all, ever. But that was good! What I can see that this is good at is making sure team leaders are getting sequences right.”

Dr Ken HarrisonSenior Staff Specialist
Anaesthetics

“This application has the potential to significantly improve the way we train and assess ALS team leaders. Being able to facilitate both individual and collaborative experiences really adds to it benefits.”

Richard Conway
Clinical Nurse Consultant
Clinical Emergency Response System

“I think this is a really cool thing. I think it would compliment the simulation training where you’ve got a lot of staff resources. You could potentially reinforce new learning without much supervision and the feedback is generated automatically in the program.”

Dr Andrew Coggins Staff Specialist
Emergency

"This has the potential to be an extremely effective educational tool.”

Sandra Warburton
Nurse Educator
Simulation

“That is the coolest thing I’ve seen in education for a long time”

Alyssa Clarke Senior ICU Nurse

Articles & Publications

Exploring User Needs in the Development of a Virtual Reality

DOI:10.2196/20797

Exploring User Needs in the Development of a Virtual Reality–Based Advanced Life Support Training Platform: Exploratory Usability Study

ALS-SimVR

DOI:10.1145/3359996.3365051

ALS-SimVR: Advanced Life Support Virtual Reality Training Application

Media and Features

Team Task Allocation

All members of the ALS team are present and able to have commonly required tasks allocated to them.

ALS algorithm Implementation

Decisions made within the application are graded against the Australian Resuscitation Council Advanced Life Support guidelines. Randomisation of the cardiac rhythms and other patient pathology allow for increased replay ability and variation in management strategies.

Systematic Patient Assessment

The user can allocate a team member to perform all common parts of a patient assessment, using the A-G and A-E assessment frameworks.

Cardiac Rhythm Interpretation

Randomisation of the cardiac rhythm and recording of user performance against key KPIs allows the user to practice the real time interpretation of cardiac rhythms in the setting of a cardiac arrest.

ALS Medication Administration

Common ALS medications are available for administration by the team and the medication administration is graded against the ARC council guidelines depending if the patient is on the shockable or non-shockable side of the algorithm.

Arterial Blood Gas Interpretation

Randomised arterial blood gasses are available for interpretation by the team leader, which will have an impact on which reversible causes of cardiac arrest are marked correct.

ECG Interpretation

Randomised ECGs are available for interpretation by the team leader, which will have an impact on which reversable causes of cardiac arrest are marked correct.

Scribe Nurse

All decisions made within the scenario are recorded in realtime and made available for review by the user by referring to the scribe nurses resuscitation chart.

Defibrillation Practice

The user can practice defibrillation using an interactive three-dimensional models of either the X Series or R series ZOLL defibrillator, being led through the COACHED defibrillation process.

ZOLL X and R series defibrillator operation

In the skill trainer section of ALS-SimVR interactive models of both the X Series or R series ZOLL defibrillators have been created to allow the user to familiarise themselves with their use.

Cardioversion practice

The user can practice performing a cardioversion on the virtual patient using an interactive three-dimensional models of either the X Series or R series ZOLL defibrillator.

Pacing practice

The user can practice commencing pacing on the virtual patient using an interactive three-dimensional models of either the X Series or R series ZOLL defibrillator.

Handover practice and reflection

Using a randomised set of patients and required clinical handovers the user can practice discerning the required information for the prescribed handover, verbally give the handover to a virtual clinician and then replay that handover back to themselves whilst reflecting on the provided information with the prompt of an ISBAR cognitive aide.

Learner Insights

All performance within the application is recorded including in-app time, number of playthroughs, user demographics and also key KPIs such as off chest time, defibrillation accuracy, medication accuracy and reversible causes.

This information is then made available to the user both at the completion of a scenario but also via their own personal dashboard on the FRLE website allowing review of individual playthroughs and performance change over time. Users can also be grouped into classrooms allowing instructors to have overviews of class performance prior or following face to face training.

Plans (ALS Sim Comes with all Learnsuite Packages)

Learn Suite Core
Avaliable August 2022

$10,000 AUD / Year

Per Hospital / Site
  • Up To 50 Licences
  • Onboarding Programme
  • ALS Sim
  • Escalating Care Sim
  • Zoll Simulator
  • SimDash Access
  • Administrator Access
  • Support / Phone / Chat
  • Oculus Quest 2 Ready
  • Windows PC*
  • Browser Support (Any Device Any Platform)
  • SSO
  • LMS Integration
  • Drift
  • Drift - Custom Scenarios
  • Handover Trainer
  • Custom Scenarios
Available July
Learn Suite Early Access
(Closed Beta)
Avaliable Now

$10,000 AUD / Year (Save $15,000)

After Early access this plan will cost $25,000

Per Hospital / Site
Why Go Early Access? See here
  • Up To 100 Learners (All Apps)
  • Onboarding Programme
  • ALS Sim
  • Escalating Care Sim
  • Zoll Simulator
  • SimDash Access
  • Administrator Access
  • Support / Phone / Chat
  • Oculus Quest 2 Ready
  • Windows PC | When Avaliable
  • Browser Support (1000 Minutes)
  • SSO - Enabled August
  • LMS Integration
  • Drift
  • Drift - Custom Scenarios
  • Handover Trainer
  • Custom Scenarios
Available Now
4 Spots Available
Learn Suite Enterprise
Available September 2022

Contact Us

Per Hospital / Site
  • Over 500 Learners
  • Onboarding Programme
  • ALS Sim
  • Escalating Care Sim
  • Zoll Simulator
  • SimDash Access
  • Administrator Access
  • Support / Phone / Chat
  • Oculus Quest 2 Ready
  • Windows PC
  • Browser Support (Any Device Any Platform)
  • SSO
  • LMS Integration
  • Drift
  • Drift - Custom Scenarios
  • Handover Trainer
  • Custom Scenarios
Available August

Get Started with learnsuite

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