What will be gamified next? ‘Game of Stools’, an educational Boardgame aimed at healthcare professionals, proved to be so popular that it has now gone into production and is available for sale commercially.

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‘Game of Stools’ aims to make people more aware of the bacterial infection Clostridium difficile, which can infect the bowel and cause diarrhoea.

Infection prevention nurse Gareth Pierce Jones, who came up with the idea for the game, said: “I wanted to keep it entertaining – so for example, you win ‘brownie points’ for answering questions correctly.”

My game is very informal and more relaxed than lecture theatre training. It encourages discussion between players.

There are lots of ways to win the game, which means that it often becomes very competitive when people play.

When I made it, I had no intention of it being commercialised – it was just for Betsi staff in our hospitals. But it was received so favourably that we began a larger trial.



From The game of Stools Website:

Game of Stools is a fun and competitive board game, designed to teach healthcare professionals about C. difficile in an engaging and effective way. The game encourages discussion between players about prevention and management of infection, and increases knowledge and confidence around C. difficile, ensuring patients are cared for promptly and safely.
Clostridium difficile is a bacterium found in the intestines. C. difficile can cause disease when the normal bacteria in the gut is disrupted, usually through antibiotic use. C. difficile is the biggest cause of infectious diarrhoea in hospitalised patients.

The spread of C. difficile can be minimised by improving practices such as hand hygiene and isolation procedures for patients who have tested positive for C. difficile infection. Staff knowledge and education is key to achieving excellent standards of infection prevention and control.

98% of Players Improved their knowledge of Clostridium Difficile

In a trial across all three main Betsi Cadwaladr University Health Board hospitals, Game of Stools was played by 85 healthcare professionals. Players completed pre-game and post-game questionnaires on C. difficile infection.

After playing Game of Stools, 98% of participants answered more questions correctly, demonstrating a definite increase in knowledge. Many improved their scores by up to 50%.


How does “Game of Stools” work?

Two players (or teams of players) compete by answering questions and explaining facts about C. difficile prevention and management while trying to avoid landing in isolation with life threatening C. difficile! Win the game by earning lots of Brownie Points, or being the first to successfully treat a “patient” for C. difficile.

Topics covered in the game include:

  • Clinical features
  • Risk factors
  • Transmission
  • Laboratory diagnosis
  • Management and treatment
  • Isolation precautions
  • Environmental cleaning


All frontline healthcare staff and students in acute and community settings.

  Players: 2 – 8 players
  Game Time: Up to 30 minutes of play
  General: No facilitator required

Some more info from the inventor himself in the video below:

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