Credit Valley Hospital

Professional Resources

Clinical Practice Guidelines


A Clinical Practice Guideline (CPG) is a systematically developed statement/document to assist practitioner and patient make decisions about appropriate health care for specific clinical circumstances.  Statements will be based on scientific literature, explicitly document the process used to develop the statement, and grades the strength of the evidence used in making clinical recommendations.  The document will integrate the best external evidence with individual clinical expertise and consideration of patient preferences.

Guideline characteristics should include the following:

  • Validity (improves health)
  • Reliability (different users use it with the same results)
  • Reproducibility (a kind of reliability, independent experts generate similar guidelines)
  • Applicability (population it refers to is defined) – Inclusion Criteria
  • Flexibility (population it does not apply to is defined) – Exclusion Criteria
  • Clarity (statements should be clear – avoid using language that could be misinterpreted)
  • Scheduled multidisciplinary review (every three years minimum)

A CPG can originate:

  • Locally through internal processes
  • From a professional or government body
  • Form professional literature, usually research

CPGs require supporting documentation to corroborate that a systematic literature search and review of existing scientific evidence published in peer review journals was performed during CPG development.

Click on name to open PDF

CPG 1-2 Adult Enteral Nutrition (EN)
CPG 2-1 Breech Presentation With External Cephalic Version
CPG 2-2 Blood Borne Disease Exposure
   • Drug Information Sheet – Zidovudine Lamivudine – Combivir
CPG 2-3 Infection Control Guidelines for Use of Non-Invasive Ventilation (BiPAP) in the Emergency Department and Intensive Care Unit
CPG 3-1 Sedation and Analgesia for Diagnostic or Therapeutic Procedures
   • Handout - Sedation Brochure
CPG 3-2 Clozapine Treatment Protocol
CPG 4-1 Delirium, Management of Patients at Risk or Suspected
CPG 5-1 Emergency Management - Paediatric Asthma
CPG 5-2 Elective Thyroidectomy Early Discharge
CPG 5-3 ER Treatment of Primary Spontaneous Pneumothorax
CPG 5-4 Status Epilepticus and Refractory Status Epilepticus, Management of Adult and Paediatric Patients
CPG 6-1 Management of Adult Patients with a Diagnosis of Febrile Neutropenia in the Emergency and Oncology Inpatients
CPG 6-3 Management of Febrile Infants 3-90 Days of Age
CPG 6-4 Paediatric Management of Haematology/Oncology and Bone Marrow Transplant Patients with Fever
CPG 8-1 HIV - Management during Pregnancy and Following Delivery
CPG 9 Smoking Cessation Management In-Patient
CPG 13-2 Isolation Precautions – Management of Methicillin Resistant Staphylococcus Aureus (MRSA)
CPG 13-3 Management of Urinary Tract Infections in Children
CPG 14-6 Neonatal Hypoglycemia
CPG 14-7 Neonatal Total Parenteral Nutrition (TPN)
CPG 15-1 Outpatient Management of Laparoscopic Cholecystectomy
CPG 15-2 Outpatient Management of Adult Tonsillectomy
CPG 16-1 Paediatric Croup (Acute Layngotracheobronchitis)
CPG 16-3 Prevention of Perinatal Group B Streptococcal Disease
CPG 16-4 Psychiatric Special Care Unit (PSCU) Intervention Guideline
CPG 18-4 Management of Renal Colic Patients in the Emergency Department
CPG 19-2 Radiopaque Contrast Media
CPG 19-5 Respiratory Syncytial Virus (RSV) Prophylazis with Palivizumab
CPG 19-25 Management of Thrombolytic Induced Major Bleeding
CPG 20-1 Management of Tuberculosis
CPG 20-3 Stroke Care Rehabilitation Unit
  • Handout - Patient Information on Stroke Care Rehabilitation
CPG 21-1 Management of Sickle Cell Disease in Children
  Antimicrobial Prophylaxis in Surgical-Gynaecologic Procedures CPG
  Blood Conservation - Adult CPG
  Contrast-Enhanced Diagnostic Studies CPG
  Infusion of Intravenous Immune Globulin (IVIG) CPG
  Paediatric Gastroenteritis CPG
  Stroke - Management of Acute Ischemic Stroke using Tissue Plasminogen Activator (TPA, Activase) CPG
  Transfusion of Blood and Blood Products in Adults
   • Handout - Patient Information on Transfusion
  Venous Thromboembolism Prophylaxis Guidelines CPG
  Warfarin Reversal - Acute Management in Adults CPG




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