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Case Studies >
 Case
Study: Chief of Staff Requests Self Review
Situation: A small rural healthcare facility's Chief of Staff
experiences complications and patient dissatisfaction on a general surgery
approach to a urologic condition. There is no Urologist on staff and no
internal peer review potential.
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Chief of Staff desires an objective evaluation
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Risk management case potential
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Physician sits on all facility performance improvements boards, thereby system
is nonobjective by design
QMCG Team Role: Conduct an objective urologic standard of care
review of the surgical and medical care management.
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Utilized a Board certified Urologist to review surgical care against Urologic
standards as requested
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Review criteria reflective of surgical and urologic appropriateness
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Determination of surgical intervention appropriateness on a urologic complaint
Peer Review Study Conclusions:
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Care rendered was appropriate for surgeon with urologic experience and urologic
case volume
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Opportunity to improve offered was for facilitation of urological back-up in
complicated cases, or arrangement for transport to tertiary urologic care as
needed
Medical Staff/Hospital Accomplishments:
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Cognizant of legal standing for any potential legal actions brought against the
facility
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Opportunities for care improvements and case used as a "lesson learned" and as
a performance improvement project
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Chief of Staff can educate Medical Staff members on patient management
decisions facing rural Medical Staffs with patient complications
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