Jeffer E K, Guida R A, Jantzen E
Office of the Surgeon General, Department of The Army, Falls Church, VA.
J Qual Assur. 1989;11(6):12-4. doi: 10.1111/j.1945-1474.1989.tb00679.x.
Since 1986, the Department of Defense has contracted with an outside agency for Civilian External Peer Review (CEPR). From January, 1986 to December, 1988, records indicate that approximately 350,000 discharges from Army hospitals have been included in the study. Initially, the small number of positive findings prevented generalizations; as the total number of cases screened has increased, several valuable lessons have been learned suggesting avenues for improving care. Additionally, a great deal has been elucidated concerning the process of large-scale clinical peer review.
自1986年以来，美国国防部已与一家外部机构签订合同，开展平民外部同行评审（CEPR）。从1986年1月至1988年12月的记录显示，该研究纳入了约35万例从陆军医院出院的病例。最初，由于阳性发现数量较少，无法进行归纳总结；随着筛查病例总数的增加，我们吸取了一些宝贵经验教训，为改善医疗护理指明了方向。此外，关于大规模临床同行评审的过程也有了很多了解。
