Title

Metric-driven harm: An exploration of unintended consequences of performance measurement

Document Type

Article

Date of Original Version

11-1-2013

Abstract

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.

Publication Title

Applied Nursing Research

Volume

26

Issue

4

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