Longitudinal Clinical Peer Review Effectiveness Study

Evidence-Based Tools for Healthcare Improvement

Results of the 2011 Longitudinal Clinical Peer Review Effectiveness Study were published in the Journal of Healthcare Management. This is the archived version of the original survey landing page. Survey-related links have been removed. The facsimile of the survey in PDF form is still available for review. AHRQ determined in 2015 that survey data cannot be protected as Patient Saftey Work Product under the Federal Patient Safety Act. It has not been necessary to defend against any legal actions demanding data disclosure.

Edwards MT. A Longitudinal Study of Clinical Peer Review's Impact on Quality and Safety in U.S. Hospitals. J Healthcare Manage 2013;58(5):369-384. Reprint Orders; Online-only Supplement
- Abstract
  Clinical peer review is the dominant method of event analysis in U.S. hospitals. It is pivotal to medical staff efforts to improve quality and safety, yet the Quality Assurance process model that has prevailed for the past 30 years evokes fear and is fundamentally antithetical to a culture of safety. Two prior national studies characterized a quality improvement model that corrects this dysfunction, but failed to demonstrate progress towards its adoption despite a high rate of program change between 2007 and 2009. This study's online survey of 470 organizations participating in either prior study further assessed relationships between program factors, including the degree of conformance to the quality improvement model (the QI model score), and subjectively measured program impact variables. Among the 300 hospitals that responded (64%), the median QI model score was only 60 on a 100 point scale. Scores increased somewhat for the 2007 cohort (mean pair-wise difference of 5.9 [2 - 10]), but not for the 2009 cohort. The QI model is expanded as a result of the finding that self-reporting of adverse events, near misses and hazardous conditions – an essential practice in high-reliability organizations - is no longer rare in hospitals. Self-reporting and the quality of case review are additional multivariate predictors of the perceived ongoing impact of clinical peer review on quality and safety, medical staff perceptions of the program, and medical staff engagement in quality and safety initiatives. Hospital leaders and trustees who seek to improve patient outcomes should facilitate the adoption of this best practice model for clinical peer review.

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Please answer all questions. We need the highest possible complete response rate to assess variation and minimize bias.

It shouldn't take more than 15 minutes. Data collection has been extended through Monday, January 23.

Eligibility Requirements

Invited to participate the 2007 National Peer Review Practices Survey or the 2009 ACPE Peer Review Outcomes Study, now filling such a person's leadership position, or determined to be among those most knowledgeable about the peer review program;
Currently affiliated with an organization that participated in either study
Knowledgeable about the hospital medical staff’s peer review program

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If you wish to review the questionnaire items before you begin, look at this file: Survey-Items.pdf. Once page 4 of the online survey has been completed, responses cannot be changed. A new set of responses could, however, be entered under a Guest Registration.

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Data Use and Confidentiality Statement

By participating in the survey, you grant permission to make aggregate comparisons using your responses and your hospital’s objective quality measures. The information which you provide will be kept confidential and will only be used for purposes of this study. It will be treated as Patient Safety Work Product and receive Federal protections against disclosure and discovery under the Patient Safety and Quality Improvement Act of 2005. No individually identifiable data will be disclosed or publically reported.

For further information regarding Patient Safety Work Product, see Frequently Asked Questions about PSO Services [page deleted 4/20/2019].

Longitudinal Clinical Peer Review Effectiveness Study - 2011