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Peer Review: Innovating Change

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Summary

Medicine has traditionally focused on specialty and subspecialty expertise, subsequently leading to fragmentation, inefficiencies and lack of accountability. The team at Columbia St Mary’s Hospital addressed this challenge with a new idea: The Institute.

"The Institute" process has transformed its culture, fundamentally affecting the way Columbia St Mary’s Hospital approaches patient care to foster accountability rather than blame. It focuses on system failures rather than on individual ones, resulting in a peer-review process built on strong interdisciplinary relationships.

  • Demonstrate how a cohesive, multi-disciplinary strategy (involving physicians of different disciplines, nurses, pharmacists, quality professionals and administrators) focused on safety, quality and patient satisfaction transformed the hospital's previous culture of silos in patient care.
  • Highlight how an innovative, common terminology helped Columbia St Mary’s Hospital address safety, quality and satisfaction.