title: Peer review: innovating change.
abstract: Medicine has traditionally focused on specialty and subspecialty expertise, which subsequently leads to fragmentation, inefficiencies, and lack of accountability. From this focus came a new idea: The Institute. The Institute has transformed our culture, fundamentally affecting the way we approach patient care and how we foster accountability rather than blame. It focuses on system failures rather than on individual ones, which ultimately drives us to act. The result is a peer-review process built on strong interdisciplinary relationships.
authors.affiliation: Medical College of Wisconsin, Milwaukee, WI, USA. asalud@columbia-stmarys.org
authors.forename: Antonio
authors.initials: A
authors.lastname: Salud
authors.forename: David
authors.initials: D
authors.lastname: Shapiro
authors.forename: Tom
authors.initials: T
authors.lastname: Rampulla
authors.forename: Karen
authors.initials: K
authors.lastname: Reddin
mesh_terms: D006282:Health Personnel / Q000592:standards; D006761:Hospitals / Q000592:standards; D006801:Humans; D009936:Organizational Innovation; D010380:Peer Review / Q000379:methods; D010820:Physicians / Q000592:standards