Although external peer review is seldom required in most organizations, it is nonetheless important to have a policy in place should the need arise. In many hospitals, the service line or department chair, medical staff quality committee (MSQC), or another designated group will make...
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Work-product privilege is a type of peer review protection law that prevents information associated with the peer review process from being discovered in court. This protection is based on the idea that physicians won’t candidly discuss a colleague’s shortcomings if their statements later could...
General case review indicators should represent significant clinical outcomes or critical processes for which physicians are partially or completely responsible and therefore represent potential improvement opportunities. It is important to make sure that the general review indicators cover all...
In the second half of the 20th century, concepts and methods for quality measurement and improvement changed dramatically. In the 1960s and 1970s, peer review was mainly based on clinical audits, which took a clinical outcome, such as mortality, and inspected...
Documentation is imperative to a successful investigation and resolution of physician impairment and/or inappropriate behavior. It is critical in demonstrating patterns of behavior. In cases that lead to disciplinary actions, documentation is necessary to establish cause for the action