Australian Commission on Safety and Quality in Health Care
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Guidelines for implementing programs

Please note that this page has now been superseded.

For the latest information please access the links via the updated Recognising and Responding to Clinical Deterioration web page





As part of the Commission's National Clinical Handover Initiative the OSSIE Guide to Clinical Handover Improvement has been developed. The OSSIE Guide is a focussed change management framework to support staff seeking to implement standardised clinical handover, and is specifically targeted at clinician-leaders and managers. "OSSIE" stands for the following five phrases:

O = Organisational leadership
S = Simple solution development
S = Stakeholder engagement
I = Implementation
E = Evaluation and maintenance

The purpose of this initiative is to develop a guide using the OSSIE framework to support improvement in the recognition of and response to clinical deterioration. There has been work done on recognising and responding to clinical deterioration over a longer a period of time, and this will need to be taken into account as the new guide is developed.