ADMIN/NON MEDICINE
GUIDELINES/PROTOCOL
Guideline and protocol seem to be separate points, however the answers are highly similar so I have merged the answers
PromptList components of a guideline
ResponseTitle/setting
Background
Aims
Inclusion criteria
Exclusion criteria
Guideline (flow with supporting data/references)
References
Date for audit/review
Sign off by authors
Background
Aims
Inclusion criteria
Exclusion criteria
Guideline (flow with supporting data/references)
References
Date for audit/review
Sign off by authors
PromptSources you would go to to compile a guideline
ResponseLocal guidelines (Different hospital, prior version)
Guidelines from similar hospitals
Published national standards (NHMRC, NICE)
Systematic reiews (eg: Cochrane)
Recent journal articles with practice changing impliations
Canvassed opinion from stakeholders
Guidelines from similar hospitals
Published national standards (NHMRC, NICE)
Systematic reiews (eg: Cochrane)
Recent journal articles with practice changing impliations
Canvassed opinion from stakeholders
PromptSteps in developing a guideline/protocol
ResponseIdentify need
Gather information
Benchmarking
Evidence based guidelines
Guidelines from other hospitals
Identify and involve all relevant stakeholders
Set objective and timeframe
Develop draft guideline, circulate for comment
Implementation
Regular education and promotion until targets achieved
Review and evaluation – set date/regular review
Gather information
Benchmarking
Evidence based guidelines
Guidelines from other hospitals
Identify and involve all relevant stakeholders
Set objective and timeframe
Develop draft guideline, circulate for comment
Implementation
Regular education and promotion until targets achieved
Review and evaluation – set date/regular review
PromptDiagnostic tools to review how care is provided
ResponseRCA
Process mapping
Patient journey mapping
Patient/carer/staff interviews
Staff/patient “tagalongs”
Process observation
Reviewing patient survey results
Wait list analysis
Variation analysis
Adverse events – incident and injury management system (IIMS)
Process mapping
Patient journey mapping
Patient/carer/staff interviews
Staff/patient “tagalongs”
Process observation
Reviewing patient survey results
Wait list analysis
Variation analysis
Adverse events – incident and injury management system (IIMS)
PromptDEBRIEF
Response
PromptFeatures of management of a debrief session after paediatric death
ResponseArrange time when all those who wish to be involved can be, ie rest of department must be covered
Allow people to express their concerns / grief
Emphasize no blame culture
Ensure team are aware of the poor prognosis from arrival of patient
Offer options for ongoing support
Offer time out where needed
Allow people to express their concerns / grief
Emphasize no blame culture
Ensure team are aware of the poor prognosis from arrival of patient
Offer options for ongoing support
Offer time out where needed