Highlights:
- The analysis of gameplay data from the Blood Transfusion Serious Game (BTSG) revealed crucial insights into the engagement, performance, and competency levels of participating nurses.
- The study highlighted the efficiency of the adaptive assessment algorithm in determining competency indicators through gameplay activities.
- Notable discrepancies existed between the game-embedded result and the adaptive assessment result, suggesting potential biases in the game result, which tended to overestimate the demonstrated competence.
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