• Stud Health Technol Inform · Jan 2009

    Variance analysis as practice-based evidence.

    • Mark Olive and Tony Solomonides.
    • Bristol Institute of Technology, University of the West of England, Bristol, UK. Mark2.Olive@uwe.ac.uk
    • Stud Health Technol Inform. 2009 Jan 1; 147: 190-8.

    AbstractIntegrated care pathways, a fine-grained form of medical guideline including the explicit recording of any deviation, or 'variance', have been perceived by some as overly prescriptive, limiting clinical freedom and promoting 'cookbook medicine'. However, feeding the results of the analysis of variance back into the development of a pathway could be an effective way of capturing evidence from practice. This paper summarizes research into the development and use of ICPs, and includes some initial findings from a qualitative study involving clinicians that have helped develop or have used ICPs professionally.

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