Abstract
<p><strong>OBJECTIVE: </strong>To determine the effect of additional gamification elements in a web-based registry system in terms of engagement and involvement to register outcome data, and to determine if gamification elements have any effect on clinical outcomes.</p><p><strong>METHODS:</strong> Randomized controlled trial for gynecologists to register their performed laparoscopic hysterectomies (LH) in an online application. Gynecologists were randomized for two types of registries.<strong> </strong>Both groups received access to the online application; after registering a procedure, direct individual feedback on surgical outcomes was provided by showing three proficiency graphs. In the intervention group, additionally gamification elements were shown. These gamification elements consisted of points and achievements that could be earned and insight in monthly collective scores. All gamification elements were based on positive enforcement.</p><p><strong>RESULTS: </strong>A total of<strong> </strong>71 gynecologists were randomized and entered a total of 1833 LH procedures. No significant difference was found between the groups in terms of engagement and involvement on a 5-point Likert scale, respectively 2.34±0.87 versus 2.56±1.05 and 3.63±0.57 versus 3.33±1.03 for the intervention versus the control group (p&gt;0.05). The intervention group showed longer operative time than the control group (108±42 vs. 101±34 minutes, p=0.04), no other differences were found in terms of surgical outcomes.</p><p><strong>CONCLUSIONS: </strong>The addition of gamification elements in a registry system did not enhance the engagement and involvement of clinicians to register their clinical data. Based on our results, we advise that registry systems for clinical data should be as simple as possible with the focus on the main goal of the registry.</p>
Highlights
The administrative responsibilities of clinicians are currently much to complain about and the struggle to balance this “paperwork” burden with the clinical care is cumbersome
The intervention group showed longer operative time than the control group (108±42 vs. 101±34 minutes, p=0.04), no other differences were found in terms of surgical outcomes
Our results showed that the features of the application were significantly less clear for the users in the gamification group, which can be explained by the fact that this version of the application consisted of many more elements that need to be understood
Summary
The administrative responsibilities of clinicians are currently much to complain about and the struggle to balance this “paperwork” burden with the clinical care is cumbersome. Since the improvement of patient safety and quality of care are both high on the international political agenda, the registration of clinical data is indispensable in the current duties of a clinician (Dreyer & Garner, 2009). This data collection is needed to support the possibility to conduct clinical research studies. As incomplete or incorrect data is not usable for the assessment of quality or for conducting clinical research, it is essential to engage and motivate clinicians to register
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
