For some time now, physicians have been evaluated based on how their patients do: surgeons less on the number of procedures they perform as the success rate post surgery of their patients, other doctors on infection rates, recoveries, etc.
What if this was done for nurses? What if we were evaluated based on how our patients did after we gave them care?
I realize there is a lot to figure out here, for one thing, one patient, during a hospital stay, will have several nurses so standardizing this would be difficult. There are other variables as well.
Is this something that could be done? Should it? Would it improve outcomes?
This comes from a discussion I was having with a fellow nurse about the essential differences between service industry and healthcare in the face of the application of common customer service evaluations for healthcare (press-ganey, HCAHPS, etc). The industries just are too different for the same standards to be effectively applied (which helps explain why a 60% rating is considered excellent for a healthcare system on some questions, but would be horrible for, say, a hotel). It occurred to me that much of what may be driving the movement toward this kind of evaluation can be related back to failures, or, at least, inconsistency in care.
Your opinions are appreciated.