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Department of General Medicine Browse the resources available on the Dept. of General Medicine website
Paediatric handbook 8th edition More info...
The RCH CPGs are available for use on your PDA. More info...
Are we missing any important guideline topics? Click here to tell us Please remember to read the disclaimer While you are here, why not bookmark this site and join our mailing list. Guideline Development Process There are two groups at the RCH involved in the development of Clinical Practice Guidelines.The Clinical Practice Guideline group generally produce guidelines for the emergency and/or acute management of paediatric patients. A group of staff from the Quality and Improvement department works with clinicians throughout the hospital to develop clinical practice guidelines generally related to ongoing patient management.Whilst both groups work collaboratively each group has a different development process. The steps for guideline development for each group are outlined as per the following links: Clinical Practice Guideline group Quality and Improvement department	Other useful resources Pre-referral guidelines Kids Health Info NETS handbook

Guideline Development Process

History

This process was initiated by the Department of General Medicine and the Centre for Community Child Health and Ambulatory Paediatrics and has been in progress since February 1996. It now involves consultants and fellows from:

• Emergency Department
• Department of General Medicine
• Specialist Medical, Surgical and Support Departments

Process

Need for individual guidelines identified from:

• List of common paediatric presentations
• Knowledge of important paediatric conditions
• Conditions flagged by problems with individual cases or
  Adverse Events Review

Guideline Development Process:

1. Initial draft prepared by one of the group following careful review of existing practice, and available published evidence on topic. International evidence-based practice (eg Cochrane Collaboration) and consensus statements (eg ACP, RACP, AAP etc) considered and included as appropriate. All guidelines adapted to local conditions (ie population, facilities, skills etc)
2. Consultation with another group member and with an appropriate external specialist department where appropriate (eg Thoracic Medicine, General Surgery, ICU).
3. Draft brought to fortnightly Guideline Development Group Meeting
4. Comments / Suggestions incorporated
5. Steps 3 & 4 repeated until guideline agreed & signed off.
6. Review date set
7. Published on paper and on RCH Web

Each guideline is reviewed after 12 or 24 months. Sooner if any problem is identified or a significant change in practice develops.

Progress

• To date, 86 Clinical Practice Guidelines have been developed and reviewed.
• They are in regular daily use in the Emergency Department and the Medical Wards.
• The recent publication on the RCH Web Intranet should facilitate ease of access.
• Ad hoc audits are conducted to assess adherence.

This process has involved a considerable investment of time and effort from all those participating but has been achieved without use of additional resources.

Other groups, including undergraduate medical students, regional and metropolitan paediatric units, and some international groups have been keen to have access.

Link to an NHMRC guide on writing information sheets for families. (PDF 236KB)

RCH CPG developer's site