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E-raamat: Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System : Workshop Summary

  • Formaat: 194 pages
  • Ilmumisaeg: 03-Mar-2009
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309177412
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  • Formaat: 194 pages
  • Ilmumisaeg: 03-Mar-2009
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309177412
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This book makes a strong case for taking advantage of the best of two disciplineshealth care and operational systems engineering (a combination of science and mathematics to describe, analyze, plan, design, and integrate systems with complex interactions among people, processes, materials, equipment, and facilities)-to improve the efficiency and quality of health care delivery, as well as health care outcomes.





Those most interested in pursuing this approach include leaders in the U.S. Department of Defense (DOD) and Department of Veterans Affairs, who are committed to finding ways of improving the quality of care for military personnel, veterans, and their families. Intrigued by the possibilities, DOD decided to sponsor a series of workshops to explore the potential of operational systems engineering principals and tools for military health care, beginning with the diagnosis and care of traumatic brain injury (TBI), one of the most prevalent, difficult and challenging injuries suffered by warriors in Iraq and Afghanistan.













Table of Contents



Front Matter Summary 1 Introduction 2 Medical Aspects of Traumatic Brain Injury--Robert Labutta 3 Traumatic Brain Injury and the Military Health System--Michael S. Jaffee 4 Examples of Operational Systems Engineering Applications Relevant to Traumatic Brain Injury Care--William P. Pierskalla 5 Case Study Vanderbilt's Journey Toward System-Supported Practice--William W. Stead 6 Suggestions for Analysis Plans by Working Groups Appendix A: Biographical Information Appendix B: Issues Raised by Stakeholders about the Military Care of Patients with Traumatic Brain Injury Appendix C: Operational Systems Engineering Applications Based on Issues Raised by TBI Stakeholders Appendix D: National Academy of Engineering/Institute of Medicine Preliminary Information-Gathering Meeting: TBI Care System Mapping Appendix E: Workshop Agenda Appendix F: Workshop Attendees Appendix G: Working Groups Appendix H: Definitions and Examples of Operational Systems Engineering Tools and Concepts
Summary 1(10)
Introduction
11(10)
Health Care Quality and Cost Challenges Facing the Military Health System
13(1)
The Operational Systems Engineering Imperative for the Military Health System
14(2)
Goals of the Workshop
16(1)
The Challenge of Traumatic Brain Injury Care
17(1)
Organization of the Workshop Summary
18(1)
References
19(2)
Medical Aspects of Traumatic Brain Injury
21(10)
Robert Labutta
Definition and Categorization of Traumatic Brain Injury
21(2)
Traumatic Brain Injury in the Military Environment
23(2)
Diagnosis and Treatment
25(3)
References
28(3)
Traumatic Brain Injury and the Military Health System
31(18)
Michael S. Jaffee
The Magnitude of the Challenge
31(5)
Components of an Effective Care Delivery System
36(3)
Research Questions and Initiatives
39(6)
References
45(4)
Examples of Operational Systems Engineering Applications Relevant to Traumatic Brain Injury Care
49(20)
William P. Pierskalla
Dynamic Influence Diagrams for Medical Decision Making
51(4)
Screening Blood for the Human Immunodeficiency Virus Antibody
55(5)
Policy Decision Modeling of the Costs and Results of Medical School Education
60(4)
The Healthcare Complex Model
64(2)
A Mixed-Integer Programming Model to Locate Traumatic Brain Injury Treatment Units in the VA
66(1)
Conclusion
67(1)
References
67(2)
Case Study: Vanderbilt's Journey Toward System-Supported Practice
69(12)
William W. Stead
References
79(2)
Suggestions for Analysis Plans by Working Groups
81(88)
Working Group A: Developing New TBI Knowledge
84(7)
Working Group B: Detection and Screening of TBI Conditions
91(5)
Working Group C: Coordination and Communication for TBI Care
96(6)
Working Group D: Measuring and Forecasting the Demand for TBI Care
102(5)
Working Group E: Capacity, Organization, and Resource Allocation for a TBI Care System
107(8)
Summary
115(4)
References
119(4)
Appendixes
Biographical Information
123(12)
Issues Raised by Stakeholders about the Military Care of Patients with Traumatic Brain Injury
135(6)
Operational Systems Engineering ApplicationsBased on Issues Raised by TBI Stakeholders
141(6)
National Academy of Engineering/Institute of Medicine Preliminary Information-Gathering Meeting: TBI Care System Mapping
147(6)
Workshop Agenda
153(6)
Workshop Attendees
159(8)
Working Groups
167(2)
Definitions and Examples of Operational Systems Engineering Tools and Concepts
169
David Butler, Jessica Buono, Frederick Erdtmann, Proctor Reid, Editors; Workshop Steering Commitee on Systems Engineering Health Care: Tools and Technologies to Maximize the Effectiveness of medical Mission Support to DOD