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Biomedical subjects

B Knothe

Publications and source records attributed to B Knothe.

2 recordsLinked to original sources

Peer review groups: problems and solutions.

OBJECTIVE: To elucidate and delineate principles for dealing with problems encountered in peer review groups. METHOD: A workshop format was utilised in which a number of interested psychiatrists were invited to role-play specific problems which occurred in established peer review groups, and reported in recent research studies. Process notes or videotapes were used to record proceedings. Principles were delineated for the management of five specific problems via role-play and discussion. RESULTS: Principles have been delineated for the management of the following problems reported by peer review groups: dominating group member; member with disturbing behaviour; member providing inadequate treatment; member transgressing treatment boundaries; and group members strongly disagreeing about the management of a case. CONCLUSION: Problems encountered within peer review groups were adequately replicated during role-played enactments. The workshop format offered a means of engaging with these, allowing exploration and subsequent resolution of problems which had not proved resolvable in the real group peer review situation.

Adult

Group peer review in psychiatry: the relationship to quality improvement and quality care.

OBJECTIVE: This study sought to elucidate the contribution of peer review groups involving psychiatrists to quality improvement and quality care. METHOD: Audio-taped interviews of groups engaged in peer review were analysed using a qualitative methodology. Participants' views of the ways in which they experienced and conceptualised peer review were explored. RESULTS: The views of participants in peer review groups were analysed, and categories evolved which identified differences in how they perceived the structure and function of group peer review. CONCLUSIONS: Participants in the groups studied perceived peer review as a professional growth forum within a quality improvement framework providing critical review of treatment, continuing education, and a sense of collegiality. Boundaries of acceptable practice were tested and defined. At its best, participation in peer review groups enhanced reflective practice which achieved new understandings of clinical work. In this regard, peer review is seen as a highly desirable method for the maintenance of professional standards.

Attitude of Health Personnel