Web Based Educational Module for Healthcare Professionals ’ regarding Clinical Practice Guidelines.
Module description. Session: One Time: 15minutes Session activity: Overview about clinical practice guideline Specific objectives: By the end of the session, the participants will be able to: Differentiate between CPG and other terminology Define clinical practice guideline Describe relation between CPG and EBP Differentiate between clinical decision tools used in clinical practice Teaching Methods: Power point presentation Evaluation Methods Application on the interested topic.
Difference between clinical practice guideline and other terminology.
1- Standard. Refers to the acceptable level of quality or achievement or desired outcome. It is composed of six components.
Standard statement: IPC.06 Personal protective equipment is available and used correctly when indicated Keywords: PPE, Physical Barriers Intent: Wearing personal protective equipment (PPE) is an important tool in the protection of both patients and healthcare professionals. PPE include gloves, gowns, masks, facial protection, eye protection (including face shields, or masks with visor attachments) and respirators..
4- Survey process guide: The surveyor may check the availability and accessibility of PPE and may interview staff members to inquire about the constant availability, accessibility and proper use of PPE 5- Evidence of compliance: Choice of PPE to be purchased is based on standardized products specifications Proper selection and use of PPE according to the patient’s suspected infection and when indicated PPEs are stored in appropriate areas that are easily accessible 6- Related standards: Medication preparation, medication preparation area, labelling of medications.
A f ormal written statement detailing the particular action to be taken in a particular situation. Used as a guidance for the organization to a desired outcome..
Policy : Health workers are obligated to wear appropriate personal protective equipment while dealing with the patient. Intent : Ensure that providing care with the patient without transmitting infection to and from the healthcare provider, as personal protective equipment’s protects both parties from microbes acquired inside hospitals. Action: 1- Sterile gloves: Before surgery- change dressing. Before medical intervention that requires a sterile medium as (urinary catheter insertion– Central venous catheter insertion)..
Take out a glove from the box, taking care to pull it out of the box by the edge of the cuff Continue to hold the glove by the top edge of the cuff only as you slip your fingers into it. Do not touch the fingers or other areas of the glove’s surface.
3. Finish donning the first glove by gently pulling it on, holding it by the top edge of the cuff 4. Using your bare hand, take a second glove from the box, taking care to lift it out of the box by the edge of the cuff. 5. Transfer the glove to your gloved hand by the edge of the cuff. Insert your bare fingers into the glove..
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A framework outlining the care that will be provided to patients in a designated area of practice. They do not describe how a procedure is performed, but why, where, when and by whom the care is given. Clinical protocol is based on guidelines..
It includes statements that include recommendations. It is supported by a systematic review of evidence and an assessment of the benefits and harms of alternative care option.
Relationship between Evidence-Based Practice (EBP) approach and Clinical Practice Guideline (CPG).
Relationship between CPG and other clinical decision tools.
Clinical pathway: Care pathway- integrated care pathway.
Clinical algorithms : It used initially to perform chart audits of clinical conditions or management and they became a preferred method to illustrate management pathways..
Session: Two Session: One Time: 15minutes Session activity: Theoretical ( Overview about clinical practice guideline ) Specific objectives: By the end of the session, the participants will be able to: List objectives of CPG Explain benefits of CPG List common guideline organizations Enumerate methods of developing CPGs Discuss principles of guideline development Explain key steps for developing CPG Teaching methods: Power point presentation Evaluation methods: Application on the interested clinical topic.
What are the objectives of clinical practice guideline?.
Potential benefits of clinical practice guidelines.
What are the organizations responsible for developing CPG?.
Methods of clinical practice guideline development.
1- CPG should be based on the best evidence 2- CPG should be developed by multidisciplinary team of experts with a representative sample of the affected person 3- CPG development should include patient values & preferences 4- CPG should based on a transparent process that minimize bias and conflict of interest 5- CPG should provide statements of the recommendations and strength of evidence 6-CPG should provide explanation of all alternative management options 7-CPG should be evaluated and updated based on the new evidence.
11 Steps for developing clinical practice guideline:.
Description of the content of the developing steps of the CPG 1-Topic / title of the guideline 2-Development group Name – Qualifications of the guideline team related to guideline area. 3-Scope /Remit 3.1) General aim & specific objectives 3.2) Area of the guideline (Assessment -management – Education--) 3.3) Target population (Inclusion & exclusion criteria) 3.4) End users & setting 4-Key clinical questions in PICO framework 5-Search of Evidence (Search strategy) 5.1) Databases 5.2) Keywords used for search 5.3) Search strategy.
Description of the content of the developing steps of the CPG 6- Method of evidence evaluation and integration 6.1) Tools used for evaluation 6.2) Evidence tables 7- Formulation Recommendations 8- Consultation and external review (AGREE II) instrument 9-Publication & dissemination of CPG 10-Implementation steps for guideline 11- Evaluation & updating.
Activity (1): According to your interested area; Choose the topic for developing guideline.
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