Peer case review sharpens event analysis.
This manuscript describes a scholarly approach to peer case review that identifies and analyzes quality-of-care issues in response to a question about nursing care of a specific patient. The comprehensive method provides a structured format that critically examines untoward patient events, generates an awareness of gaps in care from a systems perspective, ensures action planning focused on legitimate root causes, stimulates performance improvement initiatives, and provides a forum to share learning throughout the organization.
Center for Professional Excellence, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania, USA. Kim.Hitchings@lvh.com
Kim S
KS
Hitchings
Nancy
N
Davies-Hathen
Terry Ann
TA
Capuano
Georgiann
G
Morgan
Rita
R
Bendekovits
D015984:Causality; D006301:Health Services Needs and Demand; D006801:Humans; D019300:Medical Errors / Q000379:methods / Q000451:nursing / Q000517:prevention & control; D009732:Nursing Care / Q000592:standards*; D015403:Nursing Evaluation Research / Q000458:organization & administration; D015279:Organizational Culture; D017063:Outcome Assessment, Health Care; D018024:Peer Review, Health Care / Q000379:methods*; D010414:Pennsylvania; D011367:Professional Staff Committees / Q000458:organization & administration*; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D018570:Risk Assessment; D012308:Risk Management / Q000458:organization & administration*; D017749:Total Quality Management / Q000379:methods