Journal of the Royal Army Medical Corps
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The aim of this study was to determine if a set of performance indicators for command and control (C2) primarily developed for civilian use could be applied also to a military training context as well. ⋯ Measurable performance indicators for prehospital command and control were to some extent found to be applicable also to a military environment. Future developments may make it possible for the concept of measuring results using civilian performance indicators to become a quality control tool in a military setting.
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The nature of trauma care on the modern battlefield is changing quickly. Leading figures in UK field trauma care spoke at a recent meeting of the Haywood Club. The challenge of modern warfare, the evolving evacuation chain and the command and governance of field trauma care were explored.
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To determine which QOF clinical indicators are applicable for BFG HS primary care. ⋯ This study shows that several but not all QOF clinical indicators are applicable in BFG HS. Therefore QOF cannot be directly transferred to BFH HS and an adapted quality framework is required.
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Following in the footsteps of Victor Horsley, the 'father of British neurosurgery', Hugh Cairns continued the tradition ofgreat neurosurgeons associated with the Royal Army Medical Corps. He was a central figure in the acceptance of neurosurgery as a specialty in its own right in Britain, was instrumental in the foundation of Oxford University Medical School, and can legitimately claim to have significantly improved mortality figures in neurosurgical casualties in the Second World War. He was also the driving force in the acceptance of crash helmets for motorcyclists, which have substantially reduced the mortality rates of motorcyclists in those countries in which they have been introduced.
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A conceptual three-level framework is presented for understanding the aims, scope and potential outcomes of simulation in healthcare contexts. At the first level, micro-simulation aims at honing basic technical skills of individual clinicians. ⋯ At the third level, macro-simulation aims toassess organisational fitness fo r purpose at large scale. We discuss HOSPEX as an exemplar macro-simulation and argue for needs- and evidence-based implementation of simulation-based training at micro, meso and macro levels.