Radiology Business (09/14/18) Thakar, Subrata
A study published in the American Journal of Roentgenology examined the effectiveness of a peer learning program compared with a score-based review approach among radiologists at Kaiser Permanente in Denver. Kaiser's score-based peer review program transitioned to what was described as an “open, inclusive, education and improvement-oriented peer learning program.” In particular, the researchers sought to carry out the Institute of Medicine's principles for curbing diagnostic errors. Nearly 80 percent of radiologists completed the preintervention survey and indicated that Kaiser's score-based peer review was inadequate or unable to improve group or individual performance. However, following the “education and improvement-oriented” peer learning approach, noticeable achievements were made.
For instance, the number of participating radiologists increased from five to 35, and the average monthly continuing medical education credits earned by radiologists increased from approximately eight to 51. The study authors also noted that the 89 percent of radiologists who completed the postintervention survey felt they personally benefited, improved and learned from mistakes or near misses. Moreover, the approach allowed for constructive feedback. The authors concluded, “Codifying the basic requirements of a peer-learning program could be useful in allowing these programs to be considered by regulatory bodies, such as the American College of Radiology and the Joint Commission, to be superior or at least equivalent to score-based peer review for accreditation purposes.”