Sepsis policy, guidelines and standards in Canada: a jurisdictional scoping review protocol

Fatima Sheikh; Victoria Chechulina; Nick Daneman; Gary E Garber; Kathryn Hendrick; Niranjan Kissoon; Osama Loubani; Kristine Russell; Alison Fox-Robichaud; Lisa Schwartz; Kali Barrett

doi:10.1136/bmjopen-2023-077909

Sepsis policy, guidelines and standards in Canada: a jurisdictional scoping review protocol

BMJ Open. 2024 Feb 1;14(2):e077909. doi: 10.1136/bmjopen-2023-077909.

Authors

Fatima Sheikh¹, Victoria Chechulina², Nick Daneman^{3

4}, Gary E Garber^{5

6}, Kathryn Hendrick⁷, Niranjan Kissoon^{8

9}, Osama Loubani¹⁰, Kristine Russell¹¹, Alison Fox-Robichaud^{12

13}, Lisa Schwartz¹⁴, Kali Barrett^{3

15

16

17}

Affiliations

¹ Department of Health Research Methods, Evidence and Impact, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada [email protected].
² Western University, London, Ontario, Canada.
³ Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
⁴ Public Health Ontario, Toronto, Ontario, Canada.
⁵ Safe Medical Care Research, Canadian Medical Protective Association, Ottawa, Ontario, Canada.
⁶ School of Public Health and Epidemiology, University of Ottawa, Ottawa, Ontario, Canada.
⁷ Canadian Sepsis Foundation, Markham, Ontario, Canada.
⁸ Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
⁹ The Centre for International Child Health, BC Children's Hospital, Vancouver, British Columbia, Canada.
¹⁰ Departments of Critical Care Medicine and Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
¹¹ Department of Critical Care, University of Calgary, Calgary, Alberta, Canada.
¹² Medicine, McMaster University, Hamilton, Ontario, Canada.
¹³ Thrombosis and Atherosclerosis Research Institute (TaARI), McMaster University, Hamilton, Ontario, Canada.
¹⁴ Department of Health Research Methods, Evidence and Impact, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
¹⁵ Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada.
¹⁶ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
¹⁷ Interdepartmental Centre for Critical Care, University Health Network, Toronto, Ontario, Canada.

Abstract

Introduction: To our knowledge, this study is the first to identify and describe current sepsis policies, clinical practice guidelines, and health professional training standards in Canada to inform evidence-based policy recommendations.

Methods and analysis: This study will be designed and reported according to the Arksey and O'Malley framework for scoping reviews and the Preferred Reporting Items for Systematic Review and Meta-Analyses Extension for Scoping Reviews. EMBASE, CINAHL, Medline, Turning Research Into Practice and Policy Commons will be searched for policies, clinical practice guidelines and health professional training standards published or updated in 2010 onwards, and related to the identification, management or reporting of sepsis in Canada. Additional sources of evidence will be identified by searching the websites of Canadian organisations responsible for regulating the training of healthcare professionals and reporting health outcomes. All potentially eligible sources of evidence will be reviewed for inclusion, followed by data extraction, independently and in duplicate. The included policies will be collated and summarised to inform future evidence-based sepsis policy recommendations.

Ethics and dissemination: The proposed study does not require ethics approval. The results of the study will be submitted for publication in a peer-reviewed journal and presented at local, national and international forums.

Keywords: Health policy; INTENSIVE & CRITICAL CARE; Protocols & guidelines.

MeSH terms

Canada
Health Policy
Humans
Practice Guidelines as Topic*
Research Design / standards
Sepsis* / therapy
Systematic Reviews as Topic