Document Detail


Clinical peer review program self-evaluation for US hospitals.
MedLine Citation:
PMID:  20733206     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Prior research has shown wide variation in clinical peer review program structure, process, governance, and perceived effectiveness. This study sought to validate the utility of a Peer Review Program Self-Evaluation Tool as a potential guide to physician and hospital leaders seeking greater program value. Data from 330 hospitals show that the total score from the self-evaluation tool is strongly associated with perceived quality impact. Organizational culture also plays a significant role. When controlling for these factors, there was no evidence of benefit from a multispecialty review process. Physicians do not generally use reliable methods to measure clinical performance. A high rate of change since 2007 has not produced much improvement. The Peer Review Program Self-Evaluation Tool reliably differentiates hospitals along a continuum of perceived program performance. The full potential of peer review as a process to improve the quality and safety of care has yet to be realized.
Authors:
Marc T Edwards
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Publication Detail:
Type:  Journal Article     Date:  2010-08-23
Journal Detail:
Title:  American journal of medical quality : the official journal of the American College of Medical Quality     Volume:  25     ISSN:  1555-824X     ISO Abbreviation:  Am J Med Qual     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-11-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9300756     Medline TA:  Am J Med Qual     Country:  United States    
Other Details:
Languages:  eng     Pagination:  474-80     Citation Subset:  IM    
Affiliation:
QA to QI Consulting, West Hartford, CT 06107, USA. marc@QAtoQI.com
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