This review can be based on concerns regarding adverse outcomes, the appropriateness of procedures or treatments, or the use of resources.
The implementation of EPR for case reviews should be driven by a clear medical staff policy that has been reviewed by legal counsel. A good EPR policy should address the following six questions:
1. What circumstances typically require EPR?
2. Who determines when EPR is needed?
3. Who will select the reviewer?
4. How will the cases be selected?
5. Who will review the EPR report findings?
6. How will the results be used?
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