The Tyranny of Metrics

The Tyranny of Metrics

Jerry Z. Muller

metrics tend to be most successful for those interventions and outcomes that are almost entirely controlled by and within the organization’s medical system, as in the case of checklists of procedures to minimize central line–induced infections. When the outcomes are dependent upon more wide-ranging factors (such as patient behavior outside the doctor’s office and the hospital), they become more difficult to attribute to the efforts or failures of the medical system.

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