title: Code R: Redesigning Hospital-wide Peer Review for Academic Hospitals.
abstract: In most health care institutions, physician peer review is the primary method for maintaining and measuring physician competency and quality of care issues. However, many teaching hospitals do not have a method of tracking resident trainees' involvement in adverse cases. At the study institution, Code R was introduced as a measure to capture resident trainee involvement in the hospital-wide peer review process. The authors conducted a retrospective review of all peer review cases from January 2008 to December 2011 in an academic medical center and determined the quantity and type of resident errors that occurred compared to attending faculty. The Accreditation Council for Graduate Medical Education's core competencies served as a framework to categorize quality of care errors. The addition of Code R to the peer review process can be readily adopted by other institutions to help improve resident education, facilitate faculty supervision, and potentially improve patient safety.
authors.affiliation: University of California, Riverside School of Medicine, Riverside, CA Riverside County Regional Medical Center, Moreno Valley, CA Daniel.Kim@ucr.edu.
authors.forename: Daniel I
authors.initials: DI
authors.lastname: Kim
authors.affiliation: University of California, Riverside School of Medicine, Riverside, CA Riverside County Regional Medical Center, Moreno Valley, CA.
authors.forename: Huy
authors.initials: H
authors.lastname: Au
authors.affiliation: University of California, Riverside School of Medicine, Riverside, CA Riverside County Regional Medical Center, Moreno Valley, CA.
authors.forename: Ramiz
authors.initials: R
authors.lastname: Fargo
authors.affiliation: University of California, Riverside School of Medicine, Riverside, CA Riverside County Regional Medical Center, Moreno Valley, CA.
authors.forename: Roger C
authors.initials: RC
authors.lastname: Garrison
authors.affiliation: Riverside County Regional Medical Center, Moreno Valley, CA Loma Linda University School of Medicine, Loma Linda, CA.
authors.forename: Gary
authors.initials: G
authors.lastname: Thompson
authors.affiliation: Riverside County Regional Medical Center, Moreno Valley, CA Loma Linda University School of Medicine, Loma Linda, CA.
authors.forename: Minho
authors.initials: M
authors.lastname: Yu
authors.affiliation: Loma Linda University School of Medicine, Loma Linda, CA.
authors.forename: Lawrence K
authors.initials: LK
authors.lastname: Loo
mesh_terms: D002983:Clinical Competence / Q000592:standards; D006784:Hospitals, Teaching / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration / Q000592:standards / Q000706:statistics & numerical data; D019300:Medical Errors / Q000517:prevention & control / Q000706:statistics & numerical data; D010380:Peer Review / Q000379:methods*; D011785:Quality Assurance, Health Care / Q000379:methods*; D058996:Quality Improvement; D012189:Retrospective Studies
keywords: graduate medical education; peer review; quality improvement; residency training