Performance Improvement



Pdf.png Critical Care Access and Consent Toolkit This resource assembled by Critical Care Services Ontario (CCSO) guides users through some of the ethical issues that arise in critical care and describes processes related to obtaining informed consent. The 'tools' are intended to facilitate the consent process and guide decision-makers through what can be considered challenging processes in the continuum of care.


Pdf.png Critical Care Unit Balanced Scorecard Toolkit The toolkit focuses on twelve measures related to Quality of Care, Access and System Integration. It serves as a guide to critical care units that have implemented or are thinking about implementing the use of a unit level scorecard.
Pdf.png VAP and CLI Toolkit



This toolkit describes evidence-based best practices and supports hospitals in their goal of reducing VAP and CLI incidents.
Pdf.png Long-Term Mechanical Ventilation Toolkit for Adult Acute Care Providers This toolkit summarizes resources and practices in the domain of long-term ventilation. In addition, the document provides examples of successful tools and strategies to help guide Ontario's acute care service providers in caring for mechanically ventilated patients.
Pdf.png RTN Development - A Tale of Two PilotsThis presentation was delivered by Barbara Klassen (Hamilton Health Sciences) and Alanna Keenan (The Ottawa Hospital) at the Trauma Association of Canada Annual Conference on April 11, 2015. It contains a detailed comparison of the experiences of the two pilot Regional Trauma Networks (RTNs) in Ontario: the Central South RTN and the Champlain RTN.              
Pdf.pngNHS Regional Networks for Major TraumaThis report by the United Kingdom's National Health Service (NHS) Clinical Advisory Groups was released in September 2010. It is a good example of regional trauma network (RTN) implementation considerations.
Pdf.pngRegional Trauma Network Development GuideThis guide, prepared by Critical Care Services Ontario (CCSO), outlines a phased implementation approach to developing a regional trauma network.


                  Revised Neurosurgery Consultation Referral Guidelines
These guidelines, developed by Critical Care Services Ontario (CCSO) in collaboration with physicians and hospital administrators, provide clear pathways that providers at hospitals without a neurosurgery program can follow to determine whether to request an urgent neurosurgery consultation or referral via CritiCall Ontario.
web-link1.pngNeurosurgery Consultation Referral Guidelines – Interactive web-based version (Version 2.0 - December 2018)   This is an interactive, web-based version of the Neurosurgery Consultation Referral Guidelines.
Pdf.pngExtracorporeal Membrane Oxygenation (ECMO) Consultation Guidelines​The ECMO Consultation Guidelines is a tool that outlines for critical care providers various interventions and/or therapies that should be considered for respiratory rescue in critically ill patients. The goal is to ensure that patients most likely to benefit from ECMO are considered for this intervention in a timely manner and that consultation with a center providing ECMO is enabled.
Pdf.pngExtracorporeal Membrane Oxygenation (ECMO) - Guidance Document for Ontario HospitalsThis Guidance Document is intended to introduce the ECMO Consultation Guidelines to Critical Care (CC) providers. It contains reminders of strategies to consider that may assist ventilation and oxygenation in patients with respiratory failure, including suggestions for appropriately timed consideration of consultation for ECMO.
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