Our hospital implemented a Performance-Based Bonus system that is largely dependent on peer reviews, and it has turned our unit into a high school popularity contest. Suddenly, people are baking cookies for the shift and hoarding the easy assignments to keep their scores high, while the people doing the actual heavy lifting are getting dinged for not smiling enough. Am I crazy for thinking that tying compensation to the subjective feelings of your stressed-out coworkers is an absolute disaster?

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Yeah I agree that is a terrible strategy I can't believe that!

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