An Audit of the Quality of Deployed DMICP Records on Operation HERRICK 14

Batham,; Wall, C

doi:10.1136/jramc-158-03-13

Cited by 4 publications

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“…While strategic policy exists, experience on Op HERRICK showed that a significant number of DMS staff did not understand, or were unaware of the individual and corporate responsibilities (statutory, professional and ethical) associated with healthcare records. 36 This needs to be addressed through more structured and didactic education of DMS personnel. Better medical information systems (MIS) are required to ensure the fidelity and timeliness of the transfer of primary healthcare records to and from theatre, and that episodes of DHC are captured with the required accuracy.…”

Section: The Nine Themes Required To Institutionalise Retain or Suppmentioning

confidence: 99%

Lessons from the organisation of the UK medical services deployed in support of Operation TELIC (Iraq) and Operation HERRICK (Afghanistan)

Bricknell

Nadin²

2017

J R Army Med Corps

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This paper provides the definitive record of the UK Defence Medical Services (DMS) lessons from the organisation of medical services in support of Operation (Op) TELIC (Iraq) and Op HERRICK (Afghanistan). The analysis involved a detailed review of the published academic literature, internal post-operational tour reports and post-tour interviews. The list of lessons was reviewed through three Military Judgement Panel cycles producing the single synthesis ‘the golden thread’ and eight ‘silver bullets’ as themes to institutionalise the learning to deliver the golden thread. One additional theme, mentoring indigenous healthcare systems and providers, emerged as a completely new capability requirement. The DMS has established a programme of work to implement these lessons.

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Section: The Nine Themes Required To Institutionalise Retain or Suppmentioning

confidence: 99%

Lessons from the organisation of the UK medical services deployed in support of Operation TELIC (Iraq) and Operation HERRICK (Afghanistan)

Bricknell

Nadin²

2017

J R Army Med Corps

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“…An audit of the quality of medical records available to deployed DMS primary care clinicians, and benchmarking of DMS record keeping against the GMC standards, found documentation about the quality of care at Role 1 facilities between the point of wounding and evacuation was often lacking. 23 The use of near patient testing is in its infancy. Physiological monitoring technologies have been successfully exploited by the space agencies and the sporting world to safeguard their individuals and potentially enhance their performance.…”

Section: The Key Components Of Pfcmentioning

confidence: 99%

Developing prolonged field care for contingency operations

Smith

Withnall

2017

Trauma

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This narrative article explores the current and emerging challenges facing the Defence Medical Services in delivering medical care in the face of the changing nature of conflict and the arenas in which they will be conducted. It is likely that there will be a need for the delivery of prolonged field care which will require innovation and research to face the potential challenges facing military pre-hospital care providers. Clinical interventions likely to improve measurable positive patient outcomes are discussed within the context of the current Defence Medical Services research strategy, evidence-based medicine, clinical capability gaps and further research opportunities. The potential benefit of exploiting physiological monitoring technologies to improve patient care and support remote clinical decision-making is presented as a proof of concept research programme.

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“…Historically, the standard of record-keeping in the prehospital care environment has been of a variable standard 21. Earlier versions of R1 documentation did not support patient observation over a prolonged period.…”

Section: Introductionmentioning

confidence: 99%

Systematic approach to delivering prolonged field care in a prehospital care environment

2020

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BackgroundThis article describes a novel patient care algorithm which provides a Role 1 (R1) medic with a structured approach to delivering prolonged field care (PFC) in a resource-limited environment. PFC is a vital component of the operational patient care pathway providing the continuum of care from completion of a primary survey to the delivery to hospital care. Future operational environments are likely to have more fragile or extended lines of communication, potentially delaying evacuation to hospital care. This delay may lead to increases in patient morbidity and mortality. Effective PFC offers an opportunity to improve patient outcomes and help mitigate against this risk.MethodsAn initial prototype model of a PFC care process was developed using existing hospital-based guidance. A series of medical and trauma vignettes and best available evidence were used to refine the algorithm.ResultsThe algorithm has been designed be used in conjunction with patient specific clinical guidance making the approach generalisable for all patient groups. For UK military, clinical guidance is provided by clinical guidelines for operations. The algorithm can be downloaded into a convenient format to be used on mobile devices or printed as an aide memoire.

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An Audit of the Quality of Deployed DMICP Records on Operation HERRICK 14

Cited by 4 publications

References 0 publications

Lessons from the organisation of the UK medical services deployed in support of Operation TELIC (Iraq) and Operation HERRICK (Afghanistan)

Lessons from the organisation of the UK medical services deployed in support of Operation TELIC (Iraq) and Operation HERRICK (Afghanistan)

Developing prolonged field care for contingency operations

Systematic approach to delivering prolonged field care in a prehospital care environment

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