Fokie Cnossen

Discussion This brief report shows that while almost all responding MRAs recognise the lack of physician wellness as a risk factor for quality of care, actively monitoring and addressing this problem is not yet common practice. This seems a missed opportunity, as, given their unique position within the healthcare regulatory framework, MRAs could potentially contribute to the improvement of physician wellness and thereby the quality of care.

Introduction Autonomy in gameplay and the corresponding freedom of choice often increases player satisfaction and provides a feeling of control.1 However, this freedom of choice also gives players the opportunity to choose inappropriate or unethical actions in the game. Choosing inappropriate or unethical actions in a game is referred to as dark play.

The objective of this study was to assess the usability benefits of adding a bedside central control interface that controls all intravenous (IV) infusion pumps compared to the conventional individual control of multiple infusion pumps. Eighteen dedicated ICU nurses volunteered in a between-subjects task-based usability test. A newly developed central control interface was compared to conventional control of multiple infusion pumps in a simulated ICU setting.