Case Study

Six wards.
One patient.
Zero room for
error.

A gamified IPC assessment that turned a routine annual test into a high-stakes ward round — where wrong decisions cost Care Credits and a real patient's discharge depends on getting it right.

Client Large private hospital network
Sector Healthcare / Clinical compliance
Format Gamified eLearning assessment
Tool Articulate Storyline 360
At a glance
6wards
The simulated clinical journey — six real hospital departments reimagined as decision checkpoints
500credits
Starting Care Credit balance — the currency of clinical attention and the stake that drives focus
100risk
Credits lost per clinical error — proportional to the real-world consequence of each wrong decision
91%
Of staff completed the ward round with their full credit balance intact on first attempt

An IPC module that
nobody was
actually thinking about.

For a large private hospital network — fourteen sites, over three thousand clinical staff — IPC is not optional. Every nurse, healthcare assistant, and allied health professional needed to complete an annual assessment before their practice certificate was renewed.

The problem was well-known inside the L&D team and acknowledged quietly by clinical leads: the assessment was being completed, but not engaged with. Staff moved through it on autopilot — not because they were careless, but because the design gave them no reason to actually think. Text-heavy questions with no consequence for wrong answers and no connection to the actual wards people worked on had, over time, trained staff to click through without thinking.

The brief was clear: redesign the experience so that clinical staff actually think about the questions — and so that what they demonstrate in the assessment actually shows up in their behaviour on the ward.

😶
Passive engagement with the existing module
The average completion time for the annual IPC assessment was under seven minutes — a module designed to represent an hour's worth of critical clinical knowledge
📉
Low post-training compliance rates
Audits showed that IPC procedural compliance on the wards declined sharply six to eight weeks after training — well within the annual recertification window
🔁
No penalty for errors
Staff could select incorrect answers multiple times with no impact on their result — eliminating the need to think before responding, and with it, the assessment's entire purpose
🏥
No clinical context
Questions were abstract and departmentally generic — a theatre nurse and a maternity ward healthcare assistant answered exactly the same questions in exactly the same way
🏆
Nothing to achieve
There was no progression, no visible stake, no recognition for excellence — only a pass/fail certificate that arrived the same way regardless of how carefully the learner had engaged

What if the assessment didn't just test knowledge about patients —
but actually put you in charge of one?

The ward round brief

Learners are introduced to a patient — Mrs Adaeze Okoro, 68, post-operative day two following a hip replacement. Over the course of six clinical decision points — one in each department she passes through on her path to discharge — learners are the clinician responsible for her care. Every question is drawn directly from the IPC protocols governing that specific ward. Every wrong decision costs Care Credits. Arrive at discharge with 500 credits intact and Mrs Okoro goes home healthy. Lose too many credits and the simulation flags a clinical incident — and every learner who triggers one replays the ward round voluntarily, without being asked.

Mechanic 01
The Care Credit system
Every learner begins with 500 Care Credits — a visible, persistent balance displayed throughout the experience. Correct clinical decisions preserve the balance. Each error costs 100 credits, with a brief explanation of the real-world consequence that decision would have had for Mrs Okoro.
Mechanic 02
Contextualised ward questions
Questions are written for the specific department the patient is in at each stage — A&E triage protocols in the emergency bay, surgical site infection indicators in the post-op suite, hand hygiene decision trees in the rehabilitation ward. No generic scenarios. No transferable click-patterns.
Mechanic 03
The incident report reveal
Learners who deplete their credit balance do not simply fail — they receive a simulated clinical incident report bearing their name and their decisions. The design is deliberately uncomfortable. It is also, by unanimous feedback from the first cohort, the most memorable piece of IPC training they had ever encountered.

A balance that
reflects the weight
of every decision.

The Care Credit mechanic was built around one insight: people protect what they can visibly see they are losing. In the original assessment, right and wrong answers looked identical from the learner's perspective. The score appeared only at the end — by which point there was nothing to change.

By showing the credit balance throughout — updating in real time after every decision, with a brief sequence for errors — learners felt each choice as consequential. Not hypothetically. Right now, in this simulation.

The credit threshold was calibrated carefully. One error was survivable. Two made a perfect-score outcome impossible but left the patient — and the learner's professional standing in the simulation — intact. Three errors triggered the incident report. The design rewarded careful thinking without being punishing enough to feel unfair.

Design principle The 100-credit penalty was not chosen arbitrarily. It maps to a real consequence weighting used in the hospital's IPC audit framework — errors in hand hygiene, PPE selection, and isolation protocol are classified as high-risk events. The simulation's stakes mirror the real ones.
Care credit balance
400
credits
One error recorded — 100 credits deducted at Ward 3
Correct isolation decision
PPE selected appropriately for MRSA-positive bay — patient protected
+0
Hand hygiene step missed
Cross-contamination risk triggered — incident logged
−100
Wrong decontamination sequence
Surgical site infection risk elevated — clinical incident flagged
−100
Perfect ward round — 500 credits
Mrs Okoro discharged safely — commendation badge unlocked
500
Ward 01
🚨
Emergency Triage
Standard precautions, triage hand hygiene, initial isolation assessment
A&E
Ward 02
🔬
Pre-Op Assessment
MRSA screening protocol, skin prep standards, pre-surgical hygiene brief
Surgical
Ward 03
🩺
Post-Op Recovery
Surgical site infection indicators, wound care protocol, PPE selection for high-risk bays
Post-op
Ward 04
🏃
Rehabilitation
Shared-equipment decontamination, shared-bay hand hygiene, communal risk management
Rehab
Ward 05
📋
Discharge & Handover
Environmental cleaning sign-off, discharge documentation, bed decontamination protocol
Discharge
🧴
Hand hygiene & the WHO 5 Moments
Decision trees embedded in real clinical touchpoints — not abstract recitations of the policy document
🦺
PPE selection & donning / doffing sequence
Scenario-based questions that surface the donning/doffing errors most commonly flagged in real IPC audits
🧹
Environmental decontamination standards
Ward-specific decontamination protocols for high-touch surfaces, shared equipment, and isolation room turnover
🔒
Isolation protocols & MRSA management
Decision-making scenarios around contact precautions, cohorting logic, and correct use of side rooms
🩸
Sharps safety & body fluid exposure
Post-exposure response protocols embedded in realistic A&E and post-op scenarios
📝
IPC documentation & incident reporting
The final ward decision point — correct completion of IPC documentation as a closing clinical act
Challenge one

Making the patient feel real

For the Care Credit system to work, Mrs Okoro had to feel like a person, not a case study prop. The design team spent as much time on her characterisation — her family, her concerns about her hip, the small details of her post-operative progress — as on the clinical content itself. The hypothesis was that learners who felt responsible for a specific individual would engage differently than those answering questions about a generic "patient."

The hypothesis held. Debrief interviews revealed that learners consistently referred to Mrs Okoro by name — not as "the patient" — and that several spontaneously mentioned not wanting to let her down as a factor in their level of care with each question.

Design decision A short non-skippable introduction sequence — ninety seconds — established Mrs Okoro's story, her family, and what a successful discharge would mean for her before the first clinical question appeared. Learners were invested before the stakes were introduced.
Challenge two

The incident report as a learning tool

The most debated element was the incident report triggered by three or more errors. The clinical governance team worried it would feel punishing rather than educational. The resolution: the incident report would include not just the errors, but a clear explanation of how each one could have harmed Mrs Okoro — and what the correct decision would have done instead.

The result was a document that felt serious and constructive at the same time. It did not blame. It explained — specifically — the gap between what the learner knew and what their decisions had revealed.

Outcome Every learner who received an incident report on first attempt completed the ward round again within 24 hours — unprompted. The voluntary replay rate for incident-report recipients was 100%.
01
Mrs Okoro introduction — character story, family context, and ward round briefing
01
02
Credit balance dashboard — persistent display, real-time update on every decision
02
03
A&E triage bay — ward-specific clinical scenario with contextual IPC decision prompt
03
04
Credit deduction sequence — animated loss, consequence narrative, correct protocol reveal
04
05
Clinical incident report — personalised to the learner's decisions, corrective narrative included
05
06
Successful discharge — Mrs Okoro goes home, commendation badge and certificate unlocked
06

Staff stopped ticking boxes.
They started protecting patients.

The response from the first cohort of four hundred clinical staff was immediate. Average time on the assessment rose from under seven minutes to just over nineteen — not because the module was longer, but because people were reading carefully, thinking before selecting, and replaying sequences to understand their errors. They were experiencing the ward round, not just clicking through it.

The L&D team had expected pushback on the credit-loss mechanic — especially from experienced staff who might feel the simulation was beneath them. What they found instead was the opposite. Experienced staff engaged the hardest. They recognised the stakes. The simulation mirrored consequences they had seen play out in real life, and working through their decision-making in a structured way turned out to be something many found genuinely useful.

IPC compliance audits at eight weeks post-training — the point at which previous cohorts had historically shown a marked decline — showed no such drop. The behaviour change extended further than any previous training model had achieved.

"I've done IPC training every year for eleven years. This is the first time I actually thought about the questions. I didn't want to hurt Mrs Okoro — and I really didn't want my name on that incident report. — Senior staff nurse, surgical wardnt report."
— Senior staff nurse, surgical ward
91%
Perfect-score completion rate Clinical staff who completed the ward round with their full 500-credit balance intact on first attempt
2.7×
Increase in time-on-assessment Average completion time rose from under 7 minutes to just over 19 — evidence of genuine deliberation, not faster clicking
84%
Sustained compliance improvement IPC procedural compliance still measurably higher at the eight-week post-training audit — the longest sustained improvement on record
100%
Voluntary replay rate Every learner who received a clinical incident report on first attempt replayed the ward round independently within 24 hours

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