Guidelines and Standards

Clinical Guidelines

Perioperative Anaphylaxis Management Guidelines 

The second version of the Perioperative Anaphylaxis Management Guidelines has been released as a co-badged document between the Australian and New Zealand Anaesthetic Allergy Group (ANZAAG) and ANZCA (through the Anaesthetic Allergy Sub-committee of the Safety and Quality Committe).

The revised edition of the guidelines has been modified to address observations made during simulation, feedback from anaesthetists after management of episodes of intraoperative anaphylaxis and from the many anaphylaxis workshops that have been conducted since the initial guidelines were introduced throughout Australasia.
 
The following documents are designed to be used as a crisis management package in the event of an acute perioperative anaphylaxis:
 

Perioperative Anaphylaxis Management Guidelines Perioperative Anaphylaxis Management Guidelines
Perioperative Anaphylaxis Management Guidelines: Background Paper Perioperative Anaphylaxis Management Guidelines: Background Paper
Perioperative Anaphylaxis Management Guidelines: Immediate Management Perioperative Anaphylaxis Management Guidelines: Adult Immediate Management Card
Perioperative Anaphylaxis Management Guidelines: Paediatric Immediate Management Card Perioperative Anaphylaxis Management Guidelines: Paediatric Immediate Management Card
Perioperative Anaphylaxis Management Guidelines: Adult Refractory Management Card Perioperative Anaphylaxis Management Guidelines: Adult Refractory Management Card
Perioperative Anaphylaxis Management Guidelines: Paediatric Refractory Management Card Perioperative Anaphylaxis Management Guidelines: Paediatric Refractory Management Card
Perioperative Anaphylaxis Management Guidelines: Differential Diagnosis Card Perioperative Anaphylaxis Management Guidelines: Differential Diagnosis Card
Perioperative Anaphylaxis Management Guidelines: Post Crisis Management Card Perioperative Anaphylaxis Management Guidelines: Post Crisis Management Card


For details on patient referrals see here.

Endorsed Guidelines

ANZCA has endorsed a selection of guidelines developed by other organisations. Professional document A02 Policy on Endorsement of Externally Developed Guidelines articulates ANZCA's approach in this regard. Please note the relevant websites are not maintained by ANZCA.

 

Disclaimer

The statements and guidelines expressed as endorsed on this website have been endorsed as general documents, having appropriate regard to the general circumstances to which they apply at the time of their endorsement. For more information, please click here.
 

Osteoarthritis of the Knee Clinical Care Standard 

The Australian Commission on Safety and Quality in Health Care launched the Osteoarthritis of the Knee Clinical Care Standard and accompanying support materials in May 2017.

Download the Osteoarthritis of the Knee Clinical Care Standard (PDF 4MB)
For more information on the Clinical Care Standard, please click here

 

Australian Open Disclosure Framework

The Australian Commission on Safety and Quality in Health Care has designed an open disclosure framework to enable health service organisations and clinicians to communicate openly with patients when healthcare does not go to plan.
 

A Best Practice Guide for Continuous Practice Improvement (New Zealand)

The Council of Medical Colleges of New Zealand (CMC) has launched A Best Practice Guide for Continuous Practice Improvement for doctors. CMC member colleges (including ANZCA) developed the guide in collaboration with the Medical Council of New Zealand, the Ministry of Health and district health board Chief Medical Officers.

The guide brings together agreed principles and processes that can be used when setting up and developing programs to enable doctors to demonstrate their competence and performance. The draft CMC Best Practice Guide received provisional endorsement from ANZCA Council in November 2015 and endorsement was confirmed when the final version was released in February 2016.See here for more information and a copy of the guide.

 

Central Line Insertion and Maintenance Guideline

In April 2012 the Australian and New Zealand Intensive Care Society (ANZICS) published the Central Line Insertion and Maintenance Guideline. The guideline is a product of the ANZICS Central Line Associated Blood Stream Infection Prevention Project - a national quality improvement project led by ANZICS with support from the Australian Commission on Safety and Quality in Health Care.

 

Clinical Indicators

The Australian Council on Healthcare Standards (ACHS) facilitates the Clinical Indicator Program which allows healthcare organisations to benchmark at a peer and national level. The 2015 Anaesthesia and Perioperative Care, Clinical Indicator User Manaual v6 can be accessed through the ACHS website.  This publication should, with feedback and reflection, enable organisations, departments and clinicians to improve clinical performance in order to ensure good outcomes for patients.

 

Please note: if your hospital/health service is a member of the clinical indicator program you should have direct access to this manual, otherwise you will need to contact the ACHS to obtain a copy.

 

Guidelines for Surgical Patients with Post-operative Nausea and Vomiting

These guidelines were compiled by a multidisciplinary international panel of individuals with interest and expertise in post-operative nausea and vomiting (PONV) under the auspices of the Society for Ambulatory Anesthesia. The panel members critically and systematically evaluated the current medical literature on PONV to provide an evidence-based reference tool for the management of adults and children who are undergoing surgery and are at increased risk for PONV.

 

Malignant Hyperthermia Crisis Management

Malignant Hyperthermia Australia and New Zealand, a group of anaesthetists and scientists with a special interest in malignant hyperthermia, have developed a resource kit. The comprehensive kit includes guidelines on resuscitation, lines and investigations, dantrolene reconstitution, cooling, logistics and other topics.

Management of Severe Local Anaesthetic Toxicity

The Association of Anaesthetists of Great Britain and Ireland has released a safety guideline regarding the management of severe local anaesthetic toxicity. The guideline was produced by a working party that comprised Grant Cave, Will Harrop-Griffiths (chair), Martyn Harvey, Tim Meek, John Picard, Tim Short and Guy Weinberg. Accompanying notes are also available.

 

National Standard for User-applied Labelling of Injectable Medicines, Fluids and Lines

In August 2010 the Australian Commission on Safety and Quality in Health Care published National Recommendations for User-applied Labelling of Injectable Medicines, Fluids and Lines. The second edition, published in February 2012 and ANZCA endorsed this document. The commission replaced the Labelling Recommendations with the National Standard for User-applied Labelling of Injectable Medicines, Fluids and Lines in 2015. The Standard and associated resources is available here.

The Labelling Standard applies to ALL clinical areas in Australian health services where injectable medicines and fluids are administered. Implementation of the Labelling Standard is a mandatory requirement for meeting the National Safety and Quality Health Service (NSQHS) Standards – in particular, NSQHS Standard 4: Medication Safety. Replacement of the Recommendations with the Standard is immediate however health services may transition to implementing it in due course.

 

The New Zealand Guidelines for Helping People to Stop Smoking

The New Zealand Guidelines for Helping People to Stop Smoking provide healthcare workers with advice they can use when dealing with people who smoke. The guidelines, published by the New Zealand Ministry of Health, are based on a recent review of the effectiveness and affordability of stop-smoking interventions. A range of supporting resources are also available. ANZCA endorsement: July 2014.

 

OSSIE Guide to Clinical Handover Improvement

The OSSIE Guide to Clinical Handover Improvement, developed by the Australian Commission on Safety and Quality in Health Care, assists with the implementation of a standardised process for handover that suits local context. It is complemented by the Implementation Toolkit for Clinical Handover Improvement, a "how to guide" for managers and clinicians reviewing local clinical handover processes.

 

Patient Blood Management Guidelines

The National Blood Authority is developing a series of six evidence-based patient blood management guidelines. To date, ANZCA has endorsed five modules, as follows:

 

 

Associate Professor Larry McNicol is a member of the Expert Working Group and chaired the Clinical/Consumer Reference Group for modules 1 and 2.

 

Standards for Resuscitation: Clinical Practice and Education - A Resource for Healthcare

This publication, developed collaboratively by the Australian Resuscitation Council and the New Zealand Resuscitation Council, provides guidelines for clinical practice and education for healthcare providers responsible for resuscitation services within healthcare institutions. Timely and effective recognition and treatment of those whose condition is deteriorating is important for positive patient outcomes. ANZCA endorsement: March 2014.

 

World Health Organization Surgical Safety Checklist (Australia & New Zealand Edition)

In August 2009, ANZCA welcomed the introduction of the surgical safety checklist, an important clinical tool for Australian and New Zealand hospitals. Professor Alan Merry was the principal investigator for Auckland, one of the eight pilot sites in the World Health Organization global study. ANZCA also assisted in refining the checklist, which emphasises teamwork and communication, for use in Australia and New Zealand. The checklist is not intended to be comprehensive; additions and modifications are encouraged to fit local practice and responsibilities.
 

Supported Standards
 

Delirium Clinical Care Standard

The Australian Commission on Safety and Quality in Health Care has developed the Delirium Clinical Care Standard to provide a national approach to improving the prevention, diagnosis and management of delirium. This new Clinical Care Standard will help identify older patients at risk so preventive measures can be put in place and help improve the early diagnosis and treatment of delirium to minimise harm.
 
In addition, clinician and consumer fact sheets, indicator specifications: Delirium Clinical Care Standard and data collection tools have been developed to support local monitoring of the standard to assist clinicians, consumers and health services to improve safety and quality of care.  
 

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