In this ongoing research, we aim to enhance training of surgical residents and support ongoing performance development of surgical teams through the development of practical training tools using a serious games approach. This work will complement the Surgical Performance team at St Michael’s hospital, Toronto and OR BlackBox. We will refine translations of theoretical models of resiliency to develop high fidelity serious games.  Enhancing and testing a three level serious game for developing resiliency behaviors among surgical teams.  We will continue to refine existing prototypes for offline physical games and integrate these with existing OR BlackBox and SST software tools for surgical performance.

Photograph of hand with blue marker sketching design.
Wednesday, June 20, 2018 - 2:30pm
Lab Member: 
Kate Sellen

SOONER: Surviving Opioid Overdose With Naloxone Education And Resuscitation


The SOON-ER project aims to design an evidence-based Overdose Education and Naloxone Distribution (OEND) first aid toolkit, to be offered in a range of settings, that allows for ultra-brief training of overdose first aid for potential lay responders with nasal naloxone.

Overdose from opioids such as oxycodone, fentanyl, and heroin are now responsible for over 100,000 deaths per year worldwide. Overdoses in Ontario result in more years of life lost than HIV, pneumonia, or influenza.

Expanding overdose first aid education and naloxone distribution (OEND) to a wider range of settings (such as family medicine, addiction clinics, and emergency departments) could increase the number of potential lay responders reached by OEND programs.

The SOON-ER project seeks to maximize the impact of OEND in emergency departments, family practices, inpatient settings, and opiod substitution clinics by creating a toolkit for overdose first aid by lay responders.

OCAD University led the design phase of the SOON-ER project, addressing the need for an integrated design approach to expanding lay response to overdose, addressing stigma, and creating a open design that can easily be shared and replicated.

The design process included extensive community and stakeholder engagement in iterative workshops over 9 months, engaging over 100 community member and clinicians. The result was the development of an ultra-brief first aid training animation and the creation of a toolkit with nasal naloxone for lay response to overdose, that can be manufactured locally. Key aspects of the design process addressed the context of overdose, stigma, and marginalisation. 

Currently the toolkit is being tested against existing training and access. The success of patient responses to opioid overdose situations will be evaluated and compared in simulated overdose situations.

Project results from SOON-ER are already being translated to provivncial and national intiatives on overdose.

For more information, please visit and

Photograph of Narcan nasal spray
Friday, April 13, 2018 - 11:00am
Lab Member: 
Kate Sellen