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By Julie Hall; David Howard, RGN

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Under most circumstances this is appropriate. However, there are instances where an activity is not provided because the staff or service is not available; therefore the variance could not be recorded by the person responsible. Consequently, although it is often assumed that the person responsible for managing care during that time will record the variance, in reality this will most likely be the care coordinator, the named nurse or their deputy. USING VARIANCE REPORTING Variance reporting has two main purposes.

VARIANCE ANALYSIS CLINICAL GOVERNANCE CONTINUOUS IMPROVEMENT PERFORMANCE MANAGEMENT AND ORGANISATIONAL LEARNING LESSONS LEARNED FROM IMPLEMENTATION RECORDING VARIANCES SUMMARY REFERENCES USING VARIANCE REPORTING This chapter focuses upon how variance information is used as an approach to improve quality in mental health services. This information is used to examine practice critically, monitor the implementation of guidelines and in continuous evaluation of the service user’s journey. Variance reporting has long been described as a central component of integrated care pathways but is often problematic to implement.

The consequence is gaining a wider understanding of service user journeys and minimising exposure to risk. 26 Integrated care pathways in mental health PERFORMANCE MANAGEMENT AND ORGANISATIONAL LEARNING Performance management and organisational learning in health and social care thrive upon critical examination of current practice. Implementation of clinical guidelines and continuous appraisal of outcomes are fundamental to a quality improvement approach to care. Recorded variances, as part of the pathway process, provide information for clinical audit.

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