| Anonymous group peer review in surgery morbidity and mortality conference. | |
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MedLine Citation:
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PMID: 19362289 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Surgical peer review might be characterized by assessment heterogeneity. METHODS: We performed a prospective, anonymous, peer review of surgeon and system performance during a morbidity and mortality conference. RESULTS: Twenty-two cases were reviewed by a mean of 48.9 respondents each, including attendings, fellows, and residents. A mean of 50% (standard deviation, 23%) of respondents identified some quality issue in each case, reflecting high heterogeneity. The mean percentage in identifying a system issue was 27%, and in identifying a physician issue was 37%. When identifying a physician issue, physician care was judged as appropriate by 72%, as controversial by 26%, or as inappropriate by 2%. Residents were more likely than attendings to identify system issues (odds ratio, 2.23) and physician issues (odds ratio, 3.58), but attendings were more likely to rate care controversial or inappropriate (odds ratio, 2.53). CONCLUSIONS: Surgical peer reviews, even after group discussion, display substantial heterogeneity. Review methods should account for this heterogeneity. |
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Authors:
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Leila C Bender; Mary E Klingensmith; Bradley D Freeman; William C Chapman; William Claiborne Dunagan; Jonathan E Gottlieb; Bruce L Hall |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-04-10 |
Journal Detail:
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Title: American journal of surgery Volume: 198 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-07-24 Completed Date: 2009-08-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 270-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, School of Medicine, Washington University in St Louis and Barnes Jewish Hospital, Campus Box 8109, 660 South Euclid Ave., St. Louis, MO 63110-1093, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence Congresses as Topic* General Surgery Humans Internship and Residency Medical Staff, Hospital Missouri Morbidity* Mortality* Peer Review* Prospective Studies Quality Assurance, Health Care* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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