Marc Edwards

Maharishi International University · Department of Physiology

Despite its importance, the objective impact of clinical peer review on the quality and safety of care has not been studied. Data from 296 acute care hospitals show that peer review program and related organizational factors can explain up to 18% of the variation in standardized measures of quality and patient safety. The majority of programs rely...

Despite concerted effort to improve quality and safety, high reliability remains a distant goal. Although this likely reflects the challenge of organizational change, persistent controversy over basic issues suggests that weaknesses in conceptual models may contribute. The essence of operational improvement is organizational learning. This article...

Objectives Gather normative data on the goals of clinical peer review; refine a best-practice model and related self-assessment inventory; identify the interval progress towards best-practice adoption. Design Online survey (2015–16) of a cohort of 457 programs first studied by volunteer sampling in either 2007 or 2009 on 40 items assessing the deg...

Introduction: The Ayurvedic theory of Tri-Dosha offers a unique framework for understanding human differences in health and disease. The Doshas could be readily applied in clinical studies to control for such differences the same way sex, age, height and weight are routinely used except that clinical evaluation is required and methods vary. No ope...

Background: Clinical practice characteristics and patient-reported outcomes for Ayurveda have not been adequately studied. Methods: From January 2 thru February 28, 2022, all clients first seen during the 9-year period ending December 31, 2021, were solicited to respond to a web-based 34-item questionnaire containing 5 items targeting their gene...

A solid legal footing provides the framework and benchmarks for credible, persuasive, accountable quality management activities. Medical quality management (MQM) should reflect prevailing societal preferences, establishing a balance between the interests of patients, practitioners, institutional providers, health plans, regulatory agencies, and the...

In pursuit of high reliability, numerous organizations have promoted Just Culture, but its impact has never been assessed. This report combines data from a longitudinal survey–based study of clinical peer review practices in a cohort of 457 acute care hospitals with 43 measures from the Hospital Compare database and interprets them in relation to t...

Clinical peer review is the dominant method of event analysis in U.S. hospitals. It is pivotal to medical staff efforts to improve quality and safety, yet the quality assurance process model that has prevailed for the past 30 years evokes fear and is fundamentally antithetical to a culture of safety. Two prior national studies characterized a quali...

The chief sources of bias in peer review include the clinical outcome and the reviewer. But there are ways to mitigate any bias.

Prior research has shown wide variation in clinical peer review program structure, process, governance, and perceived effectiveness. This study sought to validate the utility of a Peer Review Program Self-Evaluation Tool as a potential guide to physician and hospital leaders seeking greater program value. Data from 330 hospitals show that the total...

• Objective: To obtain information about peer review as currently practiced in U.S. hospitals. • Methods: Leaders from sponsor-affiliated U.S. acute care hospitals were asked to complete a 39-item online questionnaire. • Results: Data from 339 hospitals reveal wide variation in medical staff peer review structure, process, and governance. Ordinal l...