HOSPEX in the antipodes

Gill, Gerard; P, Butt; Reade, Michael C.; Crozier, John; Williams, Alan; Thomas, T. H.; Flint, B; Matthews, Gethin; Duff, Nancy J.; Brown, George D.; Chambers, Anthony J.; Courtenay, Brett G.; Innes, Duncan; Malley, B O

doi:10.1136/jramc-2014-000378

Cited by 2 publications

(3 citation statements)

References 8 publications

(8 reference statements)

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“…Participants cited examples of how the clinical governance framework has improved patient safety, such as new documentation, greater rigour in credentialing processes, relevant clinical training, equipment management, skills assessments and HOSPEX, a simulation hospital exercise activity (Gill et al , 2014). Participants noted that the clinical governance framework has provided a legitimate means for all military members to participate in clinical governance.…”

Section: Resultsmentioning

confidence: 99%

“…In the Australian Army, there is limited opportunity to evaluate the effectiveness of clinical governance frameworks because health battalions rarely deploy in full. More often, Australian Army health assets are deployed as smaller elements, or as individuals in support of coalition force led operations, including natural disasters (Gill et al , 2014). An alternative evaluation setting, used by the Australian Army, is a hospital simulation exercise known as “HOSPEX”, a UK generated concept that provides a method of collective certification of deployable health capabilities, that includes clinical governance systems to ensure best practice (Gill et al , 2014).…”

Section: Introductionmentioning

confidence: 99%

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Implementation of a clinical governance framework to 17 Combat Service Support Brigade, Australian Army

Currie

Mateer²,

Weston³

et al. 2017

IJHG

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Purpose In 2012, Headquarters 17 Combat Service Support Brigade (HQ 17 CSS Bde) implemented a clinical governance framework. The framework is intended as a quality improvement tool through which excellence in deployed healthcare is achieved. The purpose of this paper is to describe the implementation of this clinical governance framework to 17 CSS Bde and present feedback provided by users on their application of the clinical governance framework. Design/methodology/approach An electronic survey was disseminated to the four 17 CSS Bde deployable health battalions (n=1,061). Qualitative data were analysed using descriptive statistics and qualitative data using thematic analysis. Findings In total, there were 105 responses providing valid data for analysis. The data identified mixed understanding and awareness of clinical governance amongst participants, and pinpointed aspects of the framework that needed refinement. Practical implications The results highlight important challenges implementing a clinical governance framework for deployable health units. The authors propose embedding clinical governance education in all army soldier and officer health courses to remedy deficits in knowledge and understanding. Recommendations for further development of the clinical governance framework are also made with particular emphasis on education, clinical risk and clinical evaluation. Originality/value This paper offers unique insight into the implementation of a clinical governance framework to the 17 CSS Bde, Australian Army. The results suggest that levels of understanding and awareness of clinical governance are stalling its translation through the military hierarchy. The data identify that implementation of a clinical governance framework is not easy, even within a military environment where the culture is to follow orders and obey the chain of command.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Implementation of a clinical governance framework to 17 Combat Service Support Brigade, Australian Army

Currie

Mateer²,

Weston³

et al. 2017

IJHG

View full text Add to dashboard Cite

show abstract

“…The detail of HOSPEX was covered in a themed edition of the Journal of the Royal Army Medical Corps in 2008. 44 This system has been replicated by other nations 45 and was critical to the safe operation of the DMS Ebola Virus Treatment Facility that was deployed to Sierra Leone in 2014. 46 …”

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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HOSPEX in the antipodes

Cited by 2 publications

References 8 publications

Implementation of a clinical governance framework to 17 Combat Service Support Brigade, Australian Army

Implementation of a clinical governance framework to 17 Combat Service Support Brigade, Australian Army

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

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