What is a "balancing measure" used for in quality improvement?

A balancing measure is primarily used in quality improvement initiatives to ensure that changes made to improve one area do not inadvertently lead to negative outcomes in another area. It serves as a safeguard to monitor unintended consequences that may arise from the changes being implemented. By focusing on balancing measures, organizations can confirm that improvements in one aspect, such as patient outcomes or process efficiency, do not compromise other critical areas, such as staff morale or safety.

For instance, if a healthcare facility implements a new workflow designed to enhance patient throughput, a balancing measure might monitor staff workload or patient satisfaction to ensure that the efficiencies gained do not detract from the quality of care or lead to increased stress among staff. This holistic approach helps maintain a comprehensive view of quality and performance, ensuring that the improvements are sustainable and beneficial across the board.