The Tyranny of Metrics

The Tyranny of Metrics

Jerry Z. Muller

The phenomenon of risk-aversion means that some patients whose lives might be saved by a risky operation are simply never operated upon. But there is also the reverse problem, that of overly aggressive care to meet metric targets. Patients whose operations are not successful may be kept alive for the requisite thirty days to improve their hospital’s mortality data, a prolongation that is both costly and inhumane.

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