A Comprehensive Departmental Care Review Model: Requirements, Structure, and Flow.

Joint Commission Journal on Quality and Patient Safety
David M NestlerLaura E Walker

Abstract

The Institute of Medicine, the National Patient Safety Foundation, and The Joint Commission have advocated for increased systematic care review to inform future quality improvement. Developing a system to efficiently gather meaningful feedback, review care, and identify areas for improvement can take years to construct. Yet, these systems are vital to reducing future medical error. In this article, the authors present a refined intradepartmental system of retrospective care review. The team created and iteratively improved this model for more than 10 years. Herein, key aspects and benefits of the system are described. A successful care review system should include a broad catchment for cases to review, direct input from multidisciplinary staff involved in each case, a standardized evaluation and feedback process, a system to translate identified gaps into practice improvement, and development of a psychologically safe space for discussions to occur. Resources required to build this system include a quality specialist, a panel of physician and nurse reviewers, and administrative assistance. Blinding cases and electronic blinded polling technology can enhance participation and reduce bias in case assessment. The authors believe t...Continue Reading

References

Jan 4, 2008·Hospital Topics·Peter C Olden, William C McCaughrin
Apr 18, 2013·BMJ Quality & Safety·Alissa L RussRobert L Wears
May 5, 2016·BMJ : British Medical Journal·Martin A Makary, Michael Daniel
Sep 13, 2016·Journal of Patient Safety·Mona KroussDaniel J Morgan
Feb 10, 2018·International Journal of Emergency Medicine·Laura E WalkerM Fernanda Bellolio
Apr 11, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Marc T Edwards
Sep 14, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Laura E WalkerDavid M Nestler

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