The 4-h target: an example of destructive goal pursuit?

Destructive goal pursuit (DGP) is the situation in which goal setting becomes dysfunctional, leading to impaired performance. This paper considers the 4-h target against the model of DGP and finds many similarities. It does not attempt to provide a critique of the model, nor does it seek to review a...

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Veröffentlicht in:Emergency medicine journal : EMJ 2012-03, Vol.29 (3), p.219-221
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description Destructive goal pursuit (DGP) is the situation in which goal setting becomes dysfunctional, leading to impaired performance. This paper considers the 4-h target against the model of DGP and finds many similarities. It does not attempt to provide a critique of the model, nor does it seek to review all the effects of the 4-h target. The need for multiple goals, for all domains of quality to be addressed in these, and for a focus on effective team working and team learning are emphasised. Targets, in a way analogous to drugs or other ‘therapeutic’ interventions, have the potential to cause adverse effects as well as positive ones. A greater understanding will help ensure their overall impact is as beneficial as positive.
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subjects Clinical outcomes
Delivery of Health Care - standards
Emergency medical care
Emergency Medical Services - organization & administration
Goals
Health Services Accessibility - organization & administration
Human relations
Humans
Leadership
management
organisational objectives
State Medicine
Time Factors
United Kingdom
title The 4-h target: an example of destructive goal pursuit?
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