Clinical Peer Review Program Self-Evaluation for US Hospitals

Am J Med Qual. Nov-Dec 2010;25(6):474-80. doi: 10.1177/1062860610371224. Epub 2010 Aug 23.


Prior research has shown wide variation in clinical peer review program structure, process, governance, and perceived effectiveness. This study sought to validate the utility of a Peer Review Program Self-Evaluation Tool as a potential guide to physician and hospital leaders seeking greater program value. Data from 330 hospitals show that the total score from the self-evaluation tool is strongly associated with perceived quality impact. Organizational culture also plays a significant role. When controlling for these factors, there was no evidence of benefit from a multispecialty review process. Physicians do not generally use reliable methods to measure clinical performance. A high rate of change since 2007 has not produced much improvement. The Peer Review Program Self-Evaluation Tool reliably differentiates hospitals along a continuum of perceived program performance. The full potential of peer review as a process to improve the quality and safety of care has yet to be realized.

MeSH terms

  • Attitude of Health Personnel
  • Hospital Administration / methods*
  • Hospital Administration / statistics & numerical data
  • Humans
  • Medical Staff, Hospital / statistics & numerical data*
  • Organizational Culture
  • Peer Review, Health Care / methods*
  • Quality Indicators, Health Care / statistics & numerical data*
  • Safety Management / organization & administration
  • Safety Management / statistics & numerical data
  • Surveys and Questionnaires*
  • United States