• Robin H Mortimer, Jillian R Sewell, Don M Roberton, Napier M Thomson, Jenni A Leigh, and Paul W Long.
• Royal Australasian College of Physicians, Sydney, NSW, Australia.
• Med. J. Aust. 2004 May 17; 180 (S10): S97-100.

AbstractThe increasing array of strategies and models for improving clinical practice and patient outcomes can be confusing for clinicians. The Clinical Support Systems (CSS) model has proved to be effective in local environments because it demystifies the design and implementation of evidence-based practice improvement projects. The CSS model is simple and has a wide scope. It provides a broad framework with minimalist specifications, enabling clinicians to design their own systems of care that cut across fragmented organisational structures. Implementing simple rules can be an effective strategy for change in complex care systems. These rules do not impose solutions on clinicians, but rather, help them to find creative solutions that have meaning for them and are contextually relevant.

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