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Introduction

 

 
  Drawing on the experiences of four CSS projects, this website outlines a range of practical issues to consider when designing and implementing a project in your own unique practice setting.  
 
 

There is an increasing body of literature about strategies, models and approaches for clinicians to use to improve clinical practice and patient outcomes. This can be somewhat confusing for the interested clinician. Terminology varies and models emphasise different aspects. How to begin can become an issue.

This website provides a practical introduction to the RACP�s Clinical Support System (CSS) model for evidence-based practice improvement. The CSS model provides a basic framework upon which you can design and implement projects to improve clinical practice.

The experiences of four CSS projects were used to:

  • refine the CSS model; and
  • identify practical tips to assist other clinicians design and implement their own practice-improvement projects.

 
 
  The CSS model was tested in the following four consortium-based projects:
  • Austin Bowel Cancer Consortium, implementing NH & MRC Guidelines for colorectal cancer care in surgery and oncology in three hospitals: metropolitan, regional and private;

  • Brisbane Cardiac Consortium, implementing locally adapted national guidelines for acute coronary syndromes and congestive heart failure in three metropolitan hospitals, with community (general practice) follow-up;

  • Monash University Consortium, implementing the best available evidence (in the absence of national guidelines) for the acute management of patients with stroke in four hospitals: tertiary, regional, rural and private; and

  • Towards a Safer Culture, focusing primarily on the evidence-based management of acute coronary syndromes and stroke in the Emergency Department, with subsequent flow through into the in-patient setting for admitted patients, in four hospitals.
 
 
 

 
  Some deliberate repetition in content occurs in this website in anticipation that users will be more likely to dip into the text over time than read it from beginning to end.  
 
 
 
  More detailed information is provided throughout the site and summarised in the resources section.