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KHA-CARI Guidelines Minimize

The KHA-CARI Guidelines is an evidence-based project that began in 1999. This project is funded by the Kidney Health Australia and is managed by the CARI Guidelines Steering Committee, a sub-committee of Dialysis Nephrology & Transplantation (DNT) committee which reports to Kidney Health Australia and Australian and New Zealand Society of Nephrology (ANZSN).

Quick links to CARI Guideline www.cari.org.au content:

KHA-CARI MISSION

KHA-CARI Guidelines seeks to improve the quality of care and outcomes for patients with kidney disease in Australia & New Zealand by facilitating the development and implementation of clinical practice guidelines based on the best available evidence and effectiveness.

Role of the KHA-CARI Office

The main role of the KHA-CARI Office is:

  • To support guideline writers through the guideline development and revision processes
  • To organise peer and consumer review of new and revised guidelines
  • To identify relevant trials in the literature for each Working Group (with the assistance of the Cochrane Renal Group)
  • To obtain full text copies of papers as requested by guideline writers
  • To edit completed sets of guidelines and arrange for their publication on the KHA-CARI website
  • To maintain the KHA-CARI guidelines website and produce the KHA-CARI newsletter

Important quick links

IMPLEMENTATION OVERVIEW

Ensuring the use of KHA-CARI Guidelines in clinical practice
Guidelines are an important aspect of quality patient care. They provide clinicians with recommendations that help them to practice evidence based medicine. The overall purpose of clinical guidelines is to improve health outcomes and to encourage the appropriate use of resources.

Guidelines are static entities if not put into practice. It takes a motivated team to change practice and incorporate a guideline into daily patient care. An essential part of the guideline development process is the formulation of a dissemination and implementation strategy.

KHA-CARI Guidelines staff has been and are continuing to research the best methods for ensuring the use of guidelines in clinical practice. Implementation projects are undertaken to assess both the impact of KHA-CARI Guidelines on clinical practice as well as the barriers faced by renal units in the implementation of KHA-CARI Guidelines. As implementation projects progress, KHA-CARI will develop tools to assist in guideline implementation.

Criteria used to identify which recommendations should be actively implemented include:

  • the presence of a strong evidence base supporting the recommendation
  • clinical importance
  • existence of a clear evidence/practice gap
  • patient burden of disease is high
  • ability to measure a change in practice
  • feasibility of development of an implementation strategy

Implementation projects are generally conducted according to three prime steps name
Phase I: Establish current practices and protocols
Phase II: Conduct implementation trial
Report findings


Australian Research & Kidney web sites
Australian & New Zealand Society of Nephrology  ANZSN
Australia & New Zealand Dialysis and Transplant Data ANZDATA Registry 
Australian Institute of Health and Welfare  AIHW
Australasian Kidney Trials Network  AKTN
Australian Bureau of Statistics
Cochrane Renal Group
National Health and Medical Research Council  NHMRC
National Institute of Clinical Studies  NICS
Renal Society of Australia  RSA
Royal Australian College of General Practitioners  RACGP

International websites
British Renal Association  
Canadian Society of Nephrology   
Cochrane Collaboration 
The Cochrane Library 
European Renal Best Practice Guidelines
European Renal Association, European Dialysis and Transplant Association  ERA-EDTA
Guidelines International Network  GIN
International Federation of Kidney Foundations
International Paediatric Nephrology Association  IPNA
International Society for Peritoneal Dialysis
Kidney Disease: Improving Global Outcomes  KDIGO
Kidney Disease Outcomes Quality Initiative  KDOQI
US National Kidney Foundation  NKF
Kidney Health New Zealand

Page updated 22 May 2014

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  The material contained on this site does not constitute medical advice. It is intended for information purposes only. Published by Kidney Health Australia. Privacy Policy. For information about website content please contact the National Communications Manager.

© 2008 Kidney Health Australia

Last updated: Sep 2014.