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The Mystery Dinner RCA: Using Gamification and Simulation to Teach Root Cause Analysis.

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Summary

A gamified workshop improved medical trainees' attitudes and knowledge regarding root cause analysis (RCA), a key patient safety tool. This engaging, 90-minute simulation effectively trained diverse learners, overcoming common educational barriers.

Keywords:
GamesGamificationHealth SystemsInterdisciplinary MedicineInterprofessional EducationQuality Improvement/Patient SafetyRoot Cause AnalysisSimulation

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Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Quality Improvement

Background:

  • Root cause analysis (RCA) is crucial for investigating patient safety events.
  • Limited participation in interdisciplinary RCA investigations during training is a significant issue.
  • Barriers to RCA education include faculty and trainee time constraints and learner engagement.

Purpose of the Study:

  • To develop and evaluate a simulated, gamified root cause analysis (RCA) workshop.
  • To assess the workshop's impact on medical students and graduate medical education (GME) trainees' attitudes and knowledge.
  • To address faculty time constraints in developing RCA educational materials.

Main Methods:

  • A 90-minute, gamified mystery dinner simulation was designed for RCA training.
  • The workshop was delivered to third-year medical students and trainees across multiple GME specialties.
  • Participant satisfaction, knowledge, skills, and attitudes were measured using pre- and post-workshop surveys.

Main Results:

  • 134 learners completed the workshop.
  • Post-workshop surveys showed statistically significant improvements in patient safety attitudes across all domains (average effect size 0.6).
  • 91% of participants recommended the workshop to colleagues, indicating high satisfaction and perceived value.

Conclusions:

  • A short, gamified, simulated RCA workshop effectively enhanced patient safety attitudes and knowledge.
  • This educational approach overcomes barriers related to faculty time and learner engagement.
  • The workshop provides a scalable model for interdisciplinary RCA training in medical education.