Abstract
The number of complex and unique mass casualty incidents has increased due to natural and technological disasters as well as man-made disasters such as political instabilities, economic recession, and terrorism. Thus, health care policy-makers such as the Austrian Samaritan Organization have been continuously improving the training of emergency staff to enable them to quickly evacuate an emergency site, to minimize the number of fatalities at the incident site, and to decrease the patients’ waiting time for treatment. We developed a policy management game to provide a training tool for emergency staff to support such policy-makers. In addition, with this game students can be educated on scheduling and planning techniques such as simulation, queuing theory, and resource allocation. To investigate the potential of our policy management game, we conducted an experimental study with 96 participants including students, practitioners from health care services, and researchers. They acted as incident commanders to decide on sending medical staff to triage, to different treatment rooms for care and to on-site transportation, as well as to transportation to hospitals during three game runs. The participants rated the general structure and organization of the experiment as high. The performance was also improved by many participants during the experiment. We found differences in performance among the different participant groups.
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References
Batty M (2008) The size, scale, and shape of cities. Science 319:769–777
Becker O, Feit T, Hofer V, Leopold-Wildburger U, Selten R (2007) Educational effects in an experiment with the management game SINTO-Market. Cent Eur J Oper Res Econ 15(4):301–308
Benesch T (2008) Der Schlüssel zur Statistik: datenbeurteilung mithilfe von SPSS. Facultas Verlag
Blötz U (2005) Planspiele in der beruflichen Bildung. W. Bertelsmann Verlag, Bielefeld
Brailsford S, Kozan E, Rauner MS (2012) Health care management. Flex Serv Manuf J 24(4):375–378
Brandl B, Leopold-Wildburger U, Mietek A, Pickl S (2010) How do commission rates influence a firm’s success? Statistical analysis of a corporate strategy simulation experiment. CEJOR 18(4):553–566
Brandt H (2008) Planung und entwicklung von psychologischen tests und fragebogen. Testtheorie und Fragebogenkonstruktion. Springer, Berlin, pp 27–72
Camerer CF (2007) Neuroeconomics: using neuroscience to make economic predictions. Econ J 117(519):C26–C42
Carriere JSA, Cheyne JA, Smilek D (2008) Everyday attention lapses and memory failures: the affective consequences of mindlessness. Conscious Cogn 17(3):835–847
Center for Research on the Epidemiology of Disasters - CRED (2013) EM-DAT: the international disaster database. Retrieved October 21, 2013, from http://www.emdat.be/
Dieleman H, Huisingh D (2006) Games by which to learn and teach about sustainable development: exploring the relevance of games and experiential learning for sustainability. J Clean Prod 14(9):837–847
Dill WR, Doppelt N (1963) The acquisition of experience in a complex management game. Manage Sci 10(1):30–46
Drucker PF (2006) Classic drucker: essential wisdom of peter drucker from the pages of harvard business review. Harvard Business Press, Harvard
Fischer KW (2009) Mind, brain, and education: building a scientific groundwork for learning and teaching. Mind Brain Educ 3(1):3–16
Garris R, Ahlers R, Driskell J (2002) Games, motivation, and learning: a research and practice model. Simul Gaming 33(4):441–467
Geier B (2006) Evaluation eines netzbasierten unternehmensplanspiels—Eine problemorientierte lernumgebung für die kaufmännische Aus- und Weiterbildung. Doktorarbeit, LMU, München
Hans E, Nieberg T (2007) Operating room manager game. Inf Trans Educ 8(1):25–36
Hansak P, Petutschnigg B, Böbel M, Hündorf H-P, Lipp R, Veith J (2003) LPN-San österreich—lehrbuch für rettungssanitäter, betriebssanitäter und bundesheersanitäter. Stumpf and Kossendey, Edewecht
Horsman J, Furlong W, Feeny D, Torrance G (2003) The health utilities index (HUI): concepts, measurement properties and applications. Health Qual Life Outcomes 1:54
Koehler G, Foley D, Jones M (1992) A computer simulation of a California casualty collection point used to respond to a major earthquake. Prehosp Disaster Med 7(4):339–347
Kolb D (1984) Experiential learning: experience as the source of learning and development. Englewood Cliffs, New Jersey
Kotz D (2013) Injury toll from Marathon bombs reduced to 264. The Boston Globe, Boston
Kraus M, Rauner MS, Schwarz S (2010) Hospital management games: a taxonomy and extensive review. CEJOR 18(4):567–591
Lane J, Slavin S, Ziv A (2001) Simulation in medical education: a review. Simul Gaming 32(3):297–314
Lown BA (2013) Reflections on compassion in the midst of violence. J Gen Intern Med 28(12):1554–1555
Marot J (2013) Zugunglück in Spanien: Lokführer viel zu schnell unterwegs. Der Standard
Marx F, Binsfeld M, Franke T (2013) Medizinischer Einsatz bei der Loveparade 2010 in Duisburg. Der Anaesthesist 62(12):1010–1019
Ozcan YA (2008) Health care benchmarking and performance evaluation, an assessment using data envelopment analysis (DEA). Springer, New York
Ozcan YA (2009) Quantitative methods in health care management: techniques and applications. Jossey-Bass/Wiley, San Francisco
Österreichisches Rotes Kreuz (2007) Vorschriften. Retrieved November 26, 2013, from http://vorschriften.roteskreuz.at
Paseka A (2008) Wie Kinder zu Mädchen und Buben werden. Einige Erkenntnisse aus der Sozialisations-und Geschlechterforschung. In Geschlecht lernen. Innsbruck: Studienverlag, pp 15–31
Peric N, Herdlicka T (2012) Das SanHiSt-Planspiel für den Aufbau einer Sanitätshilfsstelle bei Großschadenseinsätzen—Eine experimentelle Analyse des simulationsbasierten Managementplanspiels zur Unterstützung des effektiven und effizienten Einsatzes von Rettungsdiensten. Vienna: Master Thesis, University of Vienna
Pfaff MS, Drury JL, Klein GL, More LD, Moon SP, Liu Y (2010) Weighing decisions: aiding emergency response decision making via option awareness. Proceedings of the 2010 IEEE Technologies for Homeland Security Conference, Waltham, MA, pp 251–257
Pfaff MS, Klein GL, Drury JL, Moon SP, Liu Y, Entezari SO (2013) Supporting complex decision making through option awareness. J Cogn Eng Decis Mak 7(2):155–178
Pidd M (2004) Computer simulation in management science. Wiley, Chichester
Pidgeon N, O’Leary M (2000) An-made disasters: why technology and organizations (sometimes) fail. Saf Sci 34(1):15–30
Pinedo M (2008) Scheduling: theory, algorithms, and systems. Springer, Newton
Rabin R, de Charro F (2001) EQ-5D: a measure of health status from the EuroQol group. Annu Med 33(5):337–343
Rapoport A, Dale PS (1966) The “end” and “start” effects in iterated prisoner’s dilemma. J Confl Resolut 10(3):363–366
Rauner MS, Kraus M, Schwarz S (2008) Competition under different reimbursement systems: the concept of an internet-based hospital management game. Eur J Oper Res 185(3):948–963
Rauner MS, Schaffhauser-Linzatti M, Niessner H (2012) Resource planning for ambulance services in mass casualty incidents: a DES-based policy model. Health Care Manag Sci 15(3):254–269
Rempe A, Klösters K (2006) Das Planspiel als Entscheidungstraining. W. Kohlhammer-Verlag, Stuttgart
Rinaldi SM, Peerenboom JP, Kelly TK (2001) Identifying, understanding, and analyzing critical infrastructure interdependencies. Control Syst IEEE 21(6):11–25
Schulmeister R (1996) Grundlagen hypermedialer Lernsysteme. Theorie - Didaktik - Design. Addison-Wesley, Bonn
Sefrin P (2005) Die Rolle des Behandlungsplatzes bei Massenanfall von Verletzten. Der Notarzt 21(06):189–194
Smith SW, Portelli I, Narzisi G, Nelson LS, Menges F, Rekow ED, Mincer JS, Mishra B, Goldfrank LR (2009) A novel approach to multihazard modeling and simulation. Disaster Med Public Health Prep 3(2):75–87
Solecki W, Seto KC, Marcotullio PJ (2013) It’s time for an urbanization science. Environ: Sci Policy Sustain Dev 55(1):12–17
Solga H, Pfahl L (2009) Doing Gender Im Technisch-Naturwissen-Schaftlichen Bereich. Förderung des Nachwuchses In Technik und Naturwissenschaft. Springer, Berlin Heidelberg, pp 155–218
Streufert S, Satish U, Barach P (2001) Improving medical care: the use of simulation technology. Simul Gaming 32(2):164–174
Vissers J, Beech R (eds) (2005) Health operations management: patient flow logistics in health care (routledge health management). Routledge Chapman and Hall, New York
XJ Technologies Company (2007) AnyLogic 6—user’s guide
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Rauner, M.S., Niessner, H., Leopold-Wildburger, U. et al. A policy management game for mass casualty incidents: an experimental study. Flex Serv Manuf J 28, 336–365 (2016). https://doi.org/10.1007/s10696-014-9205-z
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DOI: https://doi.org/10.1007/s10696-014-9205-z