Metric-driven harm: An exploration of unintended consequences of performance measurement
Date of Original Version
Performance measurement is an increasingly common element of the US health care system. Typically a proxy for high quality outcomes, there has been little systematic investigation of the potential negative unintended consequences of performance metrics, including metric-driven harm. This case study details an incidence of post-surgical metric-driven harm and offers Smith's 1995 work and a patient centered, context sensitive metric model for potential adoption by nurse researchers and clinicians. Implications for further research are discussed. © 2013 Elsevier Inc.
Applied Nursing Research
Rambur, Betty, Carol Vallett, Judith A. Cohen, and Jill Mattuck Tarule. "Metric-driven harm: An exploration of unintended consequences of performance measurement." Applied Nursing Research 26, 4 (2013): 269-272. doi:10.1016/j.apnr.2013.09.001.