同行评审保护：小儿科还是关键政策？

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology Pub Date : 2024-10-03 DOI:10.1067/j.cpradiol.2024.10.002

Mohammed Al Tarhuni MD , Richard Duszak MD , Robert Optican MD, MSHA

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引用次数: 0

摘要

1986 年的《医疗质量改进法案》（HCQIA）是一项重要的联邦授权，旨在通过有效的专业同行评审提高医疗质量。重要的是，该法案在特定条件下为评审者提供了法律豁免权，并规定必须向国家执业医师数据库（NPDB）报告不良行为。本文以一名从事高端血管介入手术的放射诊断医师的工作表现受到审查为例，探讨了同行评审程序在医院的实施情况以及未报告可能造成的严重后果，突出强调了联邦和州法律、评审标准、医院政策、医师职业标准和报告职责之间的交叉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Peer review protection: Pish-Posh or pivotal policy?

The Healthcare Quality Improvement Act (HCQIA) of 1986 is a pivotal federal mandate designed to enhance medical care quality through effective professional peer review. Importantly, it offers legal immunity to reviewers under specified conditions and mandates the reporting of adverse actions to the National Practitioner Data Bank (NPDB). This article explores the implementation of peer review processes in hospitals and the potentially severe ramifications of failure to report, using the scenario of a diagnostic radiologist performing high-end vascular interventional procedures, whose performance came under scrutiny, highlighting the intersection of federal and state laws, accreditation standards, hospital policies, and physician professionalism standards and reporting duties.

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来源期刊

Current Problems in Diagnostic Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

3.00

自引率

0.00%

发文量

113

审稿时长

46 days

期刊介绍： Current Problems in Diagnostic Radiology covers important and controversial topics in radiology. Each issue presents important viewpoints from leading radiologists. High-quality reproductions of radiographs, CT scans, MR images, and sonograms clearly depict what is being described in each article. Also included are valuable updates relevant to other areas of practice, such as medical-legal issues or archiving systems. With new multi-topic format and image-intensive style, Current Problems in Diagnostic Radiology offers an outstanding, time-saving investigation into current topics most relevant to radiologists.