Pay-for-performance and patient safety in acute care: a systematic review.

Luke Slawomirski; Martin Hensher; Julie L. Campbell; Barbara deGraaff

Review

Pay-for-performance and patient safety in acute care: a systematic review.

April 24, 2024

Slawomirski L, Hensher M, Campbell JL, et al. Health Policy. 2024;143:105051.

View more articles from the same authors.

Pay-for-performance (P4P) policies and programs (such as the Hospital-Acquired Condition [HAC] Reduction Program) intend to incentivize high-quality care and reduce medical errors. This systematic review including 53 articles explored the impact of P4P on the incidence of adverse events in acute care settings. The researchers found that half of the included studies did not identify improvements in adverse event rates after P4P, and that studies reporting improvements were of poor methodological quality.

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