Teledermatology: Clinical Practice Guidelines

Dovigi, Edwin; English, Joseph C.

doi:10.1007/978-3-031-27276-9_9

Cited by 1 publication

(1 citation statement)

References 12 publications

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“…These services report that CPG development includes consultation between an ambulance-based Medical Advisory Committee and internal and external agencies, appraisal of published international guidelines, systematic reviews and existing state health service standards, and a process of clinical audit and adverse event review. 9,10 Internationally recognised best practice recommendations for obstetric and neonatal care have been published by the Royal Australian and New Zealand College of Obstetrics and Gynaecology [RANZCOG], 11 World Health Organisation [WHO], 12 and various obstetric and neonatal clinical guidelines published by Australian state health departments. However, in the absence of a prehospital national guideline, little is known about how the CPGs in Australia and New Zealand ambulance services align with the current best evidence in obstetric and neonatal care and whether they adhere to best practice standards of CPG development and reporting.…”

Section: Introductionmentioning

confidence: 99%

A document analysis of clinical guidelines for the paramedic management of obstetric and neonatal presentations in Australian and New Zealand ambulance services

Flanagan,

Barr,

Pearce

et al. 2024

Paramedicine

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Introduction Paramedics receive varying levels of training in obstetric presentations. In high-risk, low-frequency cases, clinical guidelines should support clinicians to deliver optimal care. This study analysed publicly available clinical guidelines for obstetric presentations published by ambulance services in Australia and Aotearoa New Zealand to determine consistency of clinical guidance and adherence to nationally recognised standards for the development and reporting of evidence-based guidelines. Method Guidelines were sourced from publicly available websites of Australian and Aotearoa New Zealand ambulance services. The text was imported into a custom data collection frame which focused on five predefined specific obstetric presentations. Data were extracted and measured against nationally and internationally recognised best practice standards. Results Nine independent sets of clinical guidelines were included in the analysis. There was wide variation in the clinical guidance provided and scope of practice. Aspects were found to be absent, inconsistent, not supported by evidence or having potential to cause harm. None were consistent with recognised Australian best practice standards for guideline development in the areas of referencing and grading of evidence. Conclusion This study found substantial inconsistency of clinical guidance, highlighted conflicting and inadequate advice, and assessed the safety of advice provided when compared to best practice standards and evidence-based recommendations. Sustained effort to improve ambulance service clinical guidance regarding obstetric presentations is warranted.

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Section: Introductionmentioning

confidence: 99%