What is the one greatest barrier to ensuring the quality of data used for performance measurement purposes?

Quality of Data

In your opinion, what is the one greatest barrier to ensuring the quality of data used for performance measurement purposes? Support your opinion with literature references.

Must be 250 words in APA format with two cited sources

Textbook information
Spath, P. (2018). Introduction to healthcare quality management, 3rd edition. Health
Administration Press. ISBN: 9781567939859