Skip to main content

Document Development

Provided below are the required resources to develop clinical support documents.

I want to...

‎Clinical Informatics oversees Order Set development.  Order Sets are approved at the Pharmacy, Therapeutics & Nutrition Committee. Contact abell3@cw.bc.ca for Order Sets.


  1. C&W Order Set Request Form
  2. Deadline Dates for Order Sets 2018
  3. BCCH Order Set Template
  4. BCW Order Set Template
  5. Order Set Protocol & Procedure
  6. Order Set Style Guide 2018 
  1. ‎Download and complete the Document Development Checklist (see Resources)
  2. Determine the type of document and download the corresponding template (see Resources)
  3. Identify the scope of applicability and the appropriate approval committee (see Resources)
    • If your document contains medications it must be approved at PTN. Contact lxtaylor@cw.bc.ca
  4. Draft your document with content experts and relevant stakeholders
  5. Send your document and checklist to the  committee chair for approval once finalized
  6. The Document Development Checklist must be signed by the designated approver
  7. Summary of process steps
 
  1. Request an editable version of the document from ‎policycoordinator@cw.bc.ca
  2. Download and complete the Document Development Checklist (see Resources)
  3. Identify the scope of applicability and the appropriate approval committee (see Resources)
    • If your document contains medications it must be approved at PTN. Contact lxtaylor@cw.bc.ca
  4. Use the appropriate new document template (see Resources)
  5. Revise the document with content experts and relevant stakeholders
  6. Send your document and checklist to the committee chair for approval once finalized
  7. The Document Development Checklist must be signed by the designated approver
  8. Summary of process steps
 
  1. Download and complete the Document Development Checklist (see Resources)
  2. Send the document and checklist to the appropriate committee chair for approval to archive the document
  3. The Document Development Checklist must be signed by the designated approver
  4. Summary of process steps


Once your document has been approved
  1. Send the completed Document Development Checklist and finalized document to the Policy Office
  2. Your document will be uploaded onto ePOPS by the Policy Office
    • You and the program chair will be notified
  3. Implement your education & communication plans Knowledge translation in action
  4. Policy Office provides a monthly report with metrics‎ (see Resources)
 
 

Resources

Every document must be accompanied by a completed Document Development Checklist.


 

Procedure (template): Description of a series of steps required to complete a specific task, intervention or activity.


Protocol (template): A set of required actions to manage a clinical condition, operational issue or population occurrence. Any deviation requires documented rationale.


Algorithm (template): A process flow depicted in a graph. Can include a decision process or work process. An algorithm must be accompanied by a policy or procedure.

 

Guideline (template): Systematically developed, evidence-based strategies and principles that direct actions and decisions for management of specific circumstances. They provide direction for decision-making as well as allow for professional judgment. Generally broad based they describe roles and responsibilities for each professional.

 

Order Set (see Develop/Revise and Order Set): A set of precise instructions detailing actions for prevention, care and/or treatment of a clinical condition. On order set must be made client specific and signed by an authorized health care provider (prescriber). Frequently referred to as Pre-printed orders (in paper charts).


Policy (template): Is a clear, concise, non-negotiable, formal statement directing staff decision-making. It enables and guides informed action, prescribes limits, assigns responsibilities and accountabilities and is secondary to legislation and by-laws. It must align with the mission and vision of the organization. ALL staff are required to comply with the policy.


Standard Work (template): A precise description of a work activity including the sequence of tasks and the application of best practice to complete the activity.  They ensure everyone know their roles and responsibilities and performs the procedures or tasks the same way each time.  May be used to operationalize administrative tasks and/or care delivery in a specific area. 


Reference Care Plan (template): An evidence-based care plan for a specific patient population/situation with embedded references that cite best practices.

 

Clinical Pathway: Defined plans of care for specific patient populations during a well-defined period of time. Interdisciplinary with criteria to guide care delivery they define the optimal timing and sequencing of interventions and treatments. Used to reduce variation in patient care they contain defined milestones with established outcomes. Any variances from the pathway are documented.


Standard: A desired and achievable level of performance against which actual practice can be compared. It provides a benchmark below which performance is unacceptable. Standards are developed by expert and/or authoritative bodies.

 

Form: A fillable sheet with demographic information and other related collected data.

 

‎Changes to committee structure are being implemented across C&W and will be reflected here once finalized. 


Below is the list of current document approving committees. Contact policycoordinator@cw.bc.ca to confirm which committee should approve your document.


The Policy Office monthly report contains all the documents and useage metrics for recently posted documents as well as metrics for the website. (Staff access only)

 

  • ‎link *pending*
 

Style Guide

  • 2017
  • 2018‎ *pending*
 
  

Content


SOURCE: Document Development ( )
Page printed: . Unofficial document if printed. Please refer to SOURCE for latest information.

Copyright © Provincial Health Services Authority. All Rights Reserved.