Document Detail


The Joint Theatre Clinical Case Conference (JTCCC): clinical governance in action.
MedLine Citation:
PMID:  20648941     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To quantify the type and nature of the lessons and issues arising from the Joint Theatre Clinical Case Conference METHODS: An evaluation of all JTCCC minutes from inception on 30 Mar 07 to 05 Jun 08 (n = 61) was performed in Jul 08. Each separate issue (n = 207) was assigned a NATO 'J' category and further sub-divided into clinical and non-clinical issues. Detail of whether the issues were raised for information only, or required action to be taken was recorded, as was the outcome of this action. RESULTS: A wide range of clinical and non-clinical issues (J1-J8), were identified. 23% (47) of the 207 issues were raised for information only. 77% (160) issues required action to be taken. 109 were dosed within 3 weeks. 23 took more than 3 weeks to close. Eight weeks after the study period 28 issues were still being actively resolved. 85% of JTCCC teleconferences had full participation from both theatres. Technical difficulties and/or the treatment of casualties prevented the participation of one or both theatres on 9 occasions. CONCLUSIONS: JTCCC supports deployed clinicians and enables rapid resolution of issues affecting combat casualty care. It is limited by its focus on UK casualties only. Although intended as a Clinical Governance tool the evidence of this review is that JTCCC has wider effects in a number of clinical and non-clinical areas.
Authors:
D J Willdridge; T J Hodgetts; P F Mahoney; L Jarvis
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal Army Medical Corps     Volume:  156     ISSN:  0035-8665     ISO Abbreviation:  J R Army Med Corps     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-22     Completed Date:  2010-09-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505627     Medline TA:  J R Army Med Corps     Country:  England    
Other Details:
Languages:  eng     Pagination:  79-83     Citation Subset:  IM    
Affiliation:
City Hospital, Birmingham.
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MeSH Terms
Descriptor/Qualifier:
Afghan Campaign 2001-*
Decision Making, Organizational*
Humans
Iraq War, 2003 -*
Military Medicine / organization & administration*
Referral and Consultation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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