RESUMO
BACKGROUND: Key performance indicators (KPI) are tools for assessing process and outcome in systems of health care provision and are an essential component in performance improvement. Although KPI have been used in British military trauma for 10 years, they remain poorly defined and are derived from civilian metrics that do not adjust for the realities of field trauma care. Our aim was to modify current trauma KPI to ensure they more faithfully reflect both the military setting and contemporary evidence in order to both aid accurate calibration of the performance of the British Defence Medical Services and act as a driver for performance improvement. METHOD: A workshop was convened that was attended by senior, experienced doctors and nurses from all disciplines of trauma care in the British military. "Speciality-specific" KPI were developed by interest groups using evidence-based data where available and collective experience where this was lacking. In a final discussion these were streamlined into 60 KPI covering each phase of trauma management. CONCLUSION: The introduction of these KPI sets a number of important benchmarks by which British military trauma can be measured. As part of a performance improvement programme, these will allow closer monitoring of our performance and assist efforts to develop, train, and resource British military trauma providers.
Assuntos
Medicina Militar/normas , Militares , Avaliação de Processos e Resultados em Cuidados de Saúde , Indicadores de Qualidade em Assistência à Saúde , Traumatologia/normas , Ferimentos e Lesões/terapia , Humanos , Reino Unido/epidemiologia , Ferimentos e Lesões/epidemiologiaRESUMO
Oestrus ovis is the most common cause of human ophthalmomyiasis, and infection is often misdiagnosed as acute conjunctivitis. Although it typically occurs in shepherds and farmers, O. ovis ophthalmomyiasis has also been reported in urban areas. We report the first case study of O. ovis infection from Afghanistan.
Assuntos
Diagnóstico Diferencial , Surtos de Doenças , Infecções Oculares Parasitárias/epidemiologia , Miíase/epidemiologia , Adulto , Afeganistão/epidemiologia , Animais , Conjuntivite , Dípteros , Infecções Oculares Parasitárias/terapia , Humanos , Larva/classificação , Miíase/parasitologia , Zoonoses/parasitologiaRESUMO
Deterioration to cardiac arrest is not always sudden and unexpected and on a significant number of occasions cardiac arrest could be prevented. This has important messages for the Accident and Emergency (A&E) department as the vast majority of emergency admissions originate via A&E.