Clinical Handbook for Sickle Cell Disease Vaso-occlusive Crisis

Sickle cell disease (SCD) causes intermittent and recurrent acute pain episodes as a result of vaso-occlusion. These episodes, referred to as ‘vaso-occlusive crises’ (VOC), are the most common reason for emergency department (ED) visits and hospitalizations for patients with SCD. Ensuring that patients receive timely, effective pain relief is one of the most important elements […]

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Paediatric Diabetes Mental Health and Psychosocial Care

Through the Ontario Paediatric Diabetes Network, PCMCH works to effect change in the paediatric diabetes landscape by addressing the challenges and discrepancies associated with access to mental health and psychosocial care for paediatric diabetes patients. A recommendations report regarding a provincial approach for paediatric diabetes programs to improve access and coordination of mental health and

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Transition to Adult Healthcare Services

The transition to adult-oriented healthcare services for youth with a chronic and/or complex physical, developmental and/or mental health condition is a process that begins prior to the actual transfer and does not stop once the transfer has occurred. Youth, their families, paediatric healthcare providers and adult healthcare providers all have an important role to play

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Retro-Transfer Implementation

Retro-transfer refers to the transfer of pregnant patients and/or newborns who are no longer considered high-risk from a higher level of care (i.e. tertiary centre) to a lower level of care in order to meet their care needs at a centre closer to home. Healthcare providers and administrators can use the following tools to coordinate timely

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Neonatal Abstinence Syndrome

Substance use during pregnancy is a risk factor for negative pregnancy and neonatal outcomes. Infants at risk for neonatal abstinence syndrome (NAS) are also at increased risk for pre-term birth, low birth weight and intrauterine growth restriction. Substance use in pregnancy is also a marker for social and environmental risks that contribute to mental, physical

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Paediatric Levels of Care

Infants, children and youth have unique healthcare needs compared to adults; a range of paediatric expertise and resources is essential in hospitals to ensure that paediatric inpatients receive appropriate, safe and quality care throughout the continuum of inpatient care. PCMCH developed three distinct paediatric levels of inpatient care that take into consideration the acuity of

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Complex Care for Kids Ontario

Complex Care for Kids Ontario (CCKO) is a provincial program led by the Provincial Council for Maternal and Child Health (PCMCH) to improve care continuity, collaboration, and service delivery in keeping with the needs and requirements of children/youth with medical complexity (CMC) and their families. The program aims to provide integrated and coordinated care across

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Low Risk Birth

The Clinical Handbook for Low Risk Birth aims to address the variation in caesarean section rates across the province in the low-risk patient, promote normal birth and improve patient outcomes by focusing on delivery of standardized evidence-informed practices. The Clinical Handbook for Low Risk Birth was originally developed as part of the Ontario Health System

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