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Incident-Based Peer Review

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Recommended: Incident based peer review

Incident-Based Peer Review Peer review is a process established to evaluate individual standards and quality of care issues (Harrington & Smith, 2015, p. 1). According to the Texas Department of State Health Services (DSHS), all hospitals are required to implement a program of incident-based peer review and comply with the reporting requirements established by the Texas Board of Nursing (BON) (Bearden & Shelton, n.d.). According to Haag-Heitman & George (2011), “the primary purpose of peer review is to help ensure the quality of nursing care through safe deliverance of standards of care and newly discovered evidence-based practices (p. 48). Through the implementation of peer review, nurses should be able to demonstrate the credibility in …show more content…

(Texas Board of Nursing [BON], 2013).
Membership and voting guidelines are also established by the BON for the peer review committee. According to the BON, the committee must be comprised of at least three-fourths of the members being nurses. When a registered nurse (RN) is under review, then two-thirds of the committee must be RNs and only RNs vote. When the nurse being reviewed is a licensed vocational nurse (LVN), RNs and LVNs may vote (Bearden & Shelton, n.d.). The committee should also consist of a least one nurse who is familiar with the area of nursing practice in which the nurse being reviewed practices (BON, 2011). According to G. Matthews, Wise Regional Health Systems (WRHS) has an incident-based peer review committee as outlined by the BON (personal communication, October 19, 2015). The committee is an Ad Hoc committee with a chairman appointed by the Chief Nursing Officer (CNO). The CNO and the chairman appoint four other members to serve on the committee. Members of the committee do not have direct administrative authority over the nurse being reviewed. All peer review committee activities are considered confidential and may not be disclosed expect as outlined by the BON and the Texas Occupation Code (personal communication, October 19,

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Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.

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I enjoyed reading your discussion post regarding bedside reporting and agree bedside reporting is an excellent example of evidence-based practice. The SBAR tool was originally developed to improve communication between nurses and physicians (Cornell, Yates, &Vardaman, 2014). Moreover, given the impact SBAR had on nurse-physician communication, bedside reporting utilizing the SBAR tool is now evidence-based practice for nurses (Cornell, Yates, &Vardaman, 2014). Bedside reporting gives nurses and patients’ opportunity to set mutual goals.

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With these changes, we as nurses are able to provide the best care possible for our patients. In the BSN program, I learned the importance of having peer reviewed research for validity. Also, I would like to one day take part in a research study at my facility in order to contribute to the advancement of the nursing field. Sound peer reviewed research is very important in the nursing field.

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In a peer review

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