Major Adverse Events and Near Misses
The Medical Peer Review Committee (MPRC) reviews major adverse events and near misses monthly.
Case finding includes reviews of:
- Incident reports
- Major procedure-related complications
- Reports from physicians, nurses, and family members
The committee is made up of faculty physicians from:
- Multiple divisions
- Private physicians
- Clinical leaders in the Department including:
- Firm Chiefs (who head up house staff inpatient units)
- Program directors
- Chief Medical Residents
- Medical residents on their QI elective rotations
- Key members from the Departments of Emergency Medicine, Nursing, Pharmacy and the hospital's Health Care Quality Department
Case Review Protocol
Presented at Weekly Medical Management Conference
We present cases with particularly important educational value at a weekly Medical Management Conference, which is attended by most residents and many key clinical faculty members.
Cases Representing Serious Harm or Potential Harm
Cases representing serious harm or potential harm, or with implications for other disciplines, are referred from the MPRC to a multidisciplinary hospital committee, the hospital's Medical Executive Committee (MEC) and, if appropriate, the board-level committee on quality of care.
Issues Requiring Changes in Care
Issues brought up at the Medical Peer Review Committee that require changes in the way we deliver care are referred to the Medical Patient Care Committee to assure that these changes actually occur.