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Am J Med Qual. 2010 Nov-Dec;25(6):474-80. doi: 10.1177/1062860610371224. Epub 2010 Aug 23.

Clinical peer review program self-evaluation for US hospitals.

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  • 1QA to QI Consulting, West Hartford, CT 06107, USA. marc@QAtoQI.com


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.

[PubMed - indexed for MEDLINE]
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