The growth in the number of political frictions and terrorist attacks have made governmental institutions focus on the preparation for threatening situations. Old threats persist and all kinds of new ones are added. In order to be ready for these threats, the Royal Dutch Army is shifting its focus from main task 2 operations (peace support) to main task 1 operations (combat). As support to a tactical operation there is the military medical chain. The shift in focus has uncovered that the 400 Medical Battalion is currently not capable of supporting the Army in Combat Operations. As a result, the 400 Medical Battalion is currently in a transition process. This transition contains the reorganisation of the battalion, and the development of the Role 2 Basic Medical Treatment Facility.
By performing different research activities, such as desk research, interviews and a simulation session, an understanding of the organisational context and the context of use was developed. This resulted in an overview of the problems that arise in the Role 2 Basic.
This project continued with one of the problems: the decision-making processes. Currently, the decision-making processes within the Role 2 Basic are transferred from the context of Peace Support Operations. Resulting in the decision-making process in front of the facility being triage. Triage is done to prioritize patients, while analysis shows that the decision in a combat setting asks for a process to allocate patients. As a consequence, the currently applied process is not suitable. It does not contribute to, nor is in line with, the chain-orientation in combat. All research findings were summarized in a single patient process map, a consolidated flow model and a decision framework. With all the obtained insights in mind, this project aimed for the development of decision support for the Senior Nursing Officer, while stimulating a combat mindset. This became the focus and all further activities were contributing to developing a decision support concept...