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- Title
Building a Culture of Safety and Quality: The Paradox of Measurement.
- Authors
Bliss, Katherine; Chambers, Megan; Rambur, Betty
- Abstract
Performance measures and quality metrics are widely used in health care. Yet, evidence has shown conflicting results as to whether this type of measurement consistently leads to improvements in quality of care and patient outcomes. The aim of this study was to examine U.S. emergency and intensive care nurses' experiences with measurement-driven clinical behavior, with a focus on measurement-driven harm. Qualitative analysis revealed three major interacting categories of negative, unintended consequences of performance measurement: overtreatment and unnecessary care, undertreatment, and inefficiency. The resulting framework is offered to support nursing leaders' efforts to enhance safety and quality, minimize measurement-related harm and inefficiencies, and contribute to the positive evolution of performance measures in health care.
- Subjects
UNITED States; BLOODBORNE infections; COMPUTED tomography; CONTENT analysis; EMERGENCY nursing; INFORMATION storage &; retrieval systems; MEDICAL databases; INTENSIVE care nursing; RESEARCH methodology; MEDICAL quality control; NURSES' attitudes; NURSING; EVALUATION of organizational effectiveness; QUALITY assurance; TISSUE plasminogen activator; QUALITATIVE research; JOB performance; CATHETER-related infections; CATHETER-associated urinary tract infections
- Publication
Nursing Economic$, 2020, Vol 38, Issue 4, p178
- ISSN
0746-1739
- Publication type
Article