Using PIN Guidelines

Current PIN Guidelines

Draft PIN Guidelines

Other Centres' Guidelines

Comment

Current PIN Guidelines

1.02	Writing Pin Guidelines

Comments Received

Comment 1

Good work, many thanks for your efforts. Couple of quick points:

A. At least one guideline referred to evidence quality by letter A-D but appendix one to guideline one is levels Ia-IV. Have I missed the explanatory list? A single categorisation would be best for ease of use and clarity?

B. Spelling, American or English throughout e.g. practice or practise?

C. Some comment on how to incorporate these guidelines into your local Quality Manual will help. E.g. we plan to have a separate index of PIN guidelines and list them with the PIN guideline number. Where a TRIC or Trust guideline exists we will refer the user to our local protocol which is indexed separately to avoid confusion and difficulty with maintaining document controls.

D. Do you need to be proscriptive about whom you should develop local policies with? What if your local chest physicians do not share the PIN view of best practice? Perhaps you should shorten the suggestion to the develop local guidelines.

E. You need to state that the document control system is local, some people are restricted by IT considerations and may need to use a different front sheet and control system.

F. A simple way to ensure that variations to the protocol that have been made locally are obvious to inspectors is to state that the framework protocol is in black and local modifications are in another text colour e.g. blue)

Comment 2

You classify evidence levels as Ia, Ib, IIa, IIb, II and IV. However guideline 5 refers to levels B and D of evidence.