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Building a Culture of Safety and Quality: The Paradox of Measurement.
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- معلومة اضافية
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- نبذة مختصرة :
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. [ABSTRACT FROM AUTHOR]
- نبذة مختصرة :
Copyright of Nursing Economic$ is the property of Jannetti Publications, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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