DHM

Case Review

Introduction to the Case Review Process

Purpose:

The goal of our case review process is to improve quality and safety by learning from past performance, errors, and near misses, and to gain awareness of areas of vulnerability in our practice, so that we might improve these areas;  thereby creating a safer environment for the delivery of patient care.

The Committee:

The Hospital Medicine Quality and Safety Case Review Committee is composed of various leaders in hospital medicine, other hospitalist faculty, fellows, chief residents and rotating housestaff on Quality elective. The committee meets monthly to discuss cases as a group. Committee members act as liaisons to other parts of the hospital environment for gathering more information as well as initiating improvements in our systems of care. Committee members also serve to mentor housestaff in case review and understanding systems analysis and improvement.

The Cases:

Cases are referred from many sources including: physician providers, incident reports, hospital committees, other clinical services and patient grievances.

Case Actions:

Cases result in many different types of actions with the overarching goal of improving our practice and systems of care. These actions include: education (ie. housestaff conferences), creation of task forces/working groups, changes to order forms, IT solutions, changes in processes, inter-service meetings to resolve problems, dissemination of guidelines, etc. Read the case review learnings now.

Confidentiality:

The case review process is confidential under the umbrella of quality review, and allows for open discussion of events and improvement of our care in a venue that is protected from medical legal review.

New On-Line Tool to Refer Cases:

https://medstaff.ucsfmedicalcenter.org/eoppe/mnm/