@article{12396, author = {Daniel W. Hudson and Christine G. Holzmueller and Peter Pronovost and Sebastiana J. Gianci and Zack T. Pate and Joyce A. Wahr and Eugenie S. Heitmiller and David A. Thompson and Elizabeth A. Martinez and Jill A. Marsteller and Ayse P. Gurses and Lisa H. Lubomski and Christine A. Goeschel and Julius Cuong Pham}, title = {Toward improving patient safety through voluntary peer-to-peer assessment.}, abstract = {

Health care has primarily used retrospective review approaches to identify and mitigate hazards, with little evidence of measurable and sustained improvements in patient safety. Conversely, the nuclear power industry has used a prospective peer-to-peer (P2P) assessment process grounded in open information exchange and cooperative organizational learning to realize substantial and sustainable improvements in safety. In comparing approaches, it is evident that health care's sluggish progress stems from weaknesses in hazard identification and mitigation and in organizational learning. This article proposes creating and implementing a structured prospective P2P assessment model in health care, similar to that used in the nuclear power industry, to accelerate improvements in patient safety.

}, year = {2012}, journal = {Am J Med Qual}, volume = {27}, pages = {201-9}, month = {12/2012}, issn = {1555-824X}, doi = {10.1177/1062860611421981}, language = {eng}, }