PubMed · 1298211
Systems versus performance problems: a peer review organization's perspective.
Abstract
An analysis of Ohio's Medicare data base by the state's Peer Review Organization, using the most common diagnosis-related group in the Medicare population (heart failure and shock), from January 1, 1989 to January 1, 1991, identified 72 cases with confirmed quality-of-care problems. The analysis was performed to determine whether the majority of quality-of-care problems are related to systems or performance deficiencies. Study results indicated that health care workers are being inappropriately blamed for problems that are inherent in the health care system--74% of problems were related to inefficiencies in the health care delivery system, and 26% were determined to reflect performance problems.
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J H Brooks, K K Renz, S L Richardson, S White, J Hosey. 1992. Systems versus performance problems: a peer review organization's perspective.. https://doi.org/10.1016/s0097-5990(16)30528-0
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