Protocols and Guidelines in Acute Care

Learning Objectives
Critically evaluate the evidence supporting clinical guidelines, protocols, and care bundles
Distinguish association from causation in before–after implementation studies
Identify contextual factors that determine whether protocols improve or harm outcomes
Explain the concepts of alignment, secular trends, and the Hawthorne effect in clinical care
Apply principles for when protocols should be mandatory, flexible, or avoided
Author(s)
Brian Kavanagh, MB, BSc, MRCP(I), FRCP(c), FFARCS(1)
Chair of the Department of Anesthesia | University of Toronto and of the Critical Care Canada Forum
Aleksandra E. Olszewski, MD
Physician, Assistant Professor of Critical Care Medicine and Pediatrics, Department of Critical Care Medicine | UPMC Children's Hospital of Pittsburgh
Traci Wolbrink, MD, MPH
Co-Director, OPENPediatrics; Co-Director, Center for Educational Excellence and Innovation; Program Director, Pediatric Critical Care Medicine Fellowship; Senior Associate in Critical Care Medicine | Boston Children’s Hospital
Associate Professor of Anaesthesia | Harvard Medical School
Jefferey Burns, MD, MPH
Assoc. Chief Medical Officer, Critical Care Services; Shapiro Chair in Critical Care Medicine, Division of Critical Care MedicineDirector, OPENPediatrics; Sr. Assoc. in Critical Care Medicine; Department of Anesthesiology, Critical Care & Pain Medicine | Boston Children's Hospital
Professor of Anesthesia | Harvard Medical School
Citation
Kavanagh B, Olszewski AE, Wolbrink TA, Burns JP. Protocols and Guidelines in Acute Care. 10/2014. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3057/protocols-and-guidelines-in-acute-care.
