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[Music] hello this is doctor and Abra woods the chief nurse of Wolters Kluwer health learning research and practice and this is from the desk of the chief nurse today were going to be talking about two macro trends of Nursing decreasing care variability to improve patient outcomes as well as how technology is changing how we access and use evidence in our practice so joining me here today is Colette Hendler and Colette is the editor-in-chief of Lippincott solutions pointing care products so thank you for joining me here today Claire so today we want to talk a little bit about variability of care so can you just give us a quick definition of what variability care is all about and why its such a problem well when you have different people doing different things with patients then it can have outcomes that are not what you want them to be if everybodys on the same page using evidence-based practice then youre using the latest research youre using the latest best practices an expert