Moreland M E, Racke R D
Social Work Service, Veterans Affairs Medical Center, Pittsburgh, PA 15206.
QRB Qual Rev Bull. 1991 Jul;17(7):236-9. doi: 10.1016/s0097-5990(16)30461-4.
Peer review of social work documentation has helped promote the uniformity and consistency with which services are delivered; and social workers are exposed to the professional practice of their colleagues, since all staff members participate in conducting peer reviews. The system also helps identify areas of weakness or deficiency common to staff members. The detection of such patterns is the responsibility of the peer review committee, which brings them to the attention of the social work service management and of the service's QA committee. Corrective action is then taken to remedy identified problems. The system also has the potential to help identify patient problems and needs not met by the existing system of health care delivery; such gaps in service can then be brought to the attention of the management of the medical center for consideration and possible resolution. By focusing on documentation elements as indicators of high-quality and appropriate social work intervention, the peer review system used by the social work service has helped enhance social worker performance and service delivery.
社会工作文件的同行评审有助于促进服务提供的统一性和一致性;由于所有工作人员都参与同行评审,社会工作者能够接触到同事的专业实践。该系统还有助于识别工作人员普遍存在的弱点或不足之处。发现此类模式是同行评审委员会的职责,该委员会会将这些问题提请社会工作服务管理层和服务质量保证委员会注意。然后采取纠正措施来解决已识别的问题。该系统还有助于识别现有医疗服务体系未满足的患者问题和需求;此类服务差距随后可提请医疗中心管理层考虑并可能加以解决。通过将文件要素作为高质量和适当社会工作干预的指标,社会工作服务部门使用的同行评审系统有助于提高社会工作者的绩效和服务提供水平。