Policies And Guidelines Flashcards
Policy
A deliberate system of principles to:
- guide decisions (clinical, therapeutic, diagnostic)
- achieve rational outcomes
Generally adopted by the board of a senior governance body within an organisation
Often have a broader focus (e.g. infection control trust policy)
Protocols
Developed and adopted by senior executive officers. Often have a narrower focus (e.g. post Ct biopsy chest x-rat protocol)
Clinical guidelines
Recommend how healthcare professionals should care for people with specific clinical circumstances. Can provide information and advice on prevention, diagnosis, treatment and longer term management of patients.
- important for healthcare service managers and commissioners of NHS
Stakeholder
Anyone with an interest in a business, project or programme who could affect or be affected by activity of the business project or programme.
NHS= to improve service delivery processes
9 C’s
Customers
Consumers
Contributors
Champions
Channels
Collaborators
Commissioners
Commentators
Competitors
Steps of NICE guideline development
1 topic chosen
2 scope produced
3 guideline developed
4 draft guideline
5 comments considered
6 guideline published
7 updating guidelines
Head injury guideline
1: head injury occurs
2: patient assessed, risk factors ID’d. 1 hour countdown for CT
Risk factors for adults
- GCS score of 12 or less on initial assessment in A&E
- GCS score of less than 15, 2 hrs after injury
- suspected open of depressed skull fracture
- any sign of basal skull fracture
- post traumatic seizure
- focal neurological deficit
- more than 1 episode of vomiting
Safeguarding: children
- Radiological investigation of suspected physical abuse in children 2018= RCR, SCOR
- imaging for NAI use of anatomical markers 2011 = RCR
- child abuse and neglect 2017 NICE
- head injury assessment NICE 2014,17,23
