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Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System Workshop Summary (2009) / Chapter Skim
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Appendix C: Operational Systems Engineering Applications Based on Issues Raised by TBI Stakeholders
Pages 141-146

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From page 141...
... . This limits the objective diagnosis of TBI, effective management at the point of injury, and appropriate acute care.
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From page 142...
... Develop a model for the medical diagnosis/detection of mTBI based on current clinical experience of the events and processes leading to the onset and progression of the disease and on the questionnaires/testing of military personnel (e.g., Bayesian networks, influence networks)
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From page 143...
... DOD does not have a system-wide approach for tracking and monitoring TBI patients for effective management of their complete care. The coordination of care is poor between the MHS and VA systems, as well as among facilities and care providers at different levels and different medical facilities.
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From page 144...
... Develop a methodology to forecast the time stream of future TBI patients based on a projection of IED and other wartime blast phenomena in current and projected theaters of war. Specifi cally, based on historical and test data on various types of IEDs, develop a model to estimate the severity of concussive blast effects on individuals as a function of the input characteristics, such as blast sizes and types, proximity of blast to individuals, physical shielding and protections available, duration and number of blasts and/or incidents.
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From page 145...
... OR 2.  design an approach to improve an existing enterprise-level To health care delivery model, including TBI system elements, care processes, resources, etc.
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From page 146...
... for all severity levels of TBI. (As an alternative, consider assigning TBI patients to specific care providers.)
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Key Terms

  • tbi patients
  • mtbi patients
  • care resources
  • effective management
  • screening process

  • care delivery
  • concussive effects
  • future demand
  • future tbi
  • detecting mtbi

  • additional tbi
  • efficient care
  • assigning tbi
  • cue care
  • tbi capacity

  • mtbi based
  • tbi preventive
  • including tbi
  • mild tbi
  • tbi health

  • care coordination
  • monitoring tbi
  • mtbi incidence
  • scarce tbi
  • care processes

  • patients based
  • potential tbi
  • clinical experience
  • consider assigning
  • include demand


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