Vice Chair of Quality and Safety, Einstein Healthcare Network, Philadelphia, Pennsylvania.
Chair, Peer Review Committee, Assistant Director of Departmental QI, Einstein Healthcare Network, Philadelphia, Pennsylvania.
J Am Coll Radiol. 2021 Mar;18(3 Pt B):499-506. doi: 10.1016/j.jacr.2020.09.058. Epub 2020 Oct 20.
To describe the transition from a traditional peer review process to the peer learning system as well as the issues that arose and subsequent actions taken.
Baseline peer review data were obtained over 1 year from our traditional peer review system and compared with data obtained over 1 year of using peer learning. Data included number of discrepancies and breakdown of types of discrepancies. Staff radiologists were surveyed to assess their perception of the transition.
There were 5 significant discrepancies submitted under the traditional peer review system, and 416 cases submitted under the new peer learning methodology. The most reported peer learning events were perception (45.0 %) and great calls (35.1%). Surveys administered after the intervention period demonstrated that most radiologists felt peer learning contributed more to their professional development and had more opportunities for learning compared with the traditional peer review system.
The benefits of instituting peer learning include increased radiologist engagement and education. There may be challenges in the transition from a traditional peer review system to peer learning; however, the process of solving these issues can also result in an overall improved system.
描述从传统的同行评议过程向同行学习系统的转变，以及在此过程中出现的问题和随后采取的措施。
从我们传统的同行评议系统中获得了为期 1 年的基线同行评议数据，并与使用同行学习获得的 1 年数据进行了比较。数据包括差异的数量和差异类型的细分。对放射科工作人员进行了调查，以评估他们对这一转变的看法。
传统同行评议系统下提交了 5 项重大差异，新的同行学习方法下提交了 416 例。报告最多的同行学习事件是感知（45.0%）和很好的建议（35.1%）。干预期后进行的调查表明，与传统的同行评审系统相比，大多数放射科医生认为同行学习对他们的职业发展更有帮助，也有更多的学习机会。
实施同行学习的好处包括增加放射科医生的参与度和教育。从传统的同行评审系统向同行学习转变可能会面临挑战；然而，解决这些问题的过程也可以导致整体系统的改进。
