Objective Impact of Clinical Peer Review on Hospital Quality and Safety

Owing to the generosity of Thomson Reuters and Premier Inc., electronic reprints of the latest findings on clinical peer review effectiveness will be available at no cost until the end of May. The article appears in the April issue of the American Journal of Medical Quality. The publisher usually charges a fee of $20 for each download to non-subscribers.

While you may redistribute the hyperlink below without restriction to colleagues in your organization and elsewhere, you are advised to abide by copyright restrictions and make photocopies only for your personal use. There is no restriction on reproduction of the article abstract.

Edwards MT. The objective impact of clinical peer review on hospital quality and safety. Am J Med Qual. 2011;26(2):110-119.

Abstract: Despite its importance, the objective impact of clinical peer review on the quality and safety of care has not been studied. Data from 296 acute care hospitals show that peer review program and related organizational factors can explain up to 18% of the variation in standardized measures of quality and patient safety. The majority of programs rely on an outmoded and dysfunctional process model. Adoption of best practices informed by continuing study of peer review program effectiveness has potential to significantly improve patient outcomes

You’ll find additional support for program improvement, including a free, evidence-based online Peer Review Program Self-Evaluation Tool at QAtoQI. com. For CHPSO members, there is no cost to report data to the non-commercial Normative Peer Review Database Project ( as Patient Safety Work Product. It is designed to support studies in health care operations improvement, publication of findings and feedback for improvement of quality and safety. Participants complete an annual program information report and contribute specified peer review program data semi-annually. In return, they receive normative performance reports. Data is now being received for the period October 1, 2010 through March 31, 2011