Impact of peer review audit on occupational health report quality

Lalloo, D., Demou, E. and Macdonald, E.B. (2015) Impact of peer review audit on occupational health report quality. Occupational Medicine, 65(6), pp. 440-443. (doi: 10.1093/occmed/kqv077) (PMID:26048330) (PMCID:PMC4522512)

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Background: In a previous report, we described the implementation of a formal process for peer review of occupational health (OH) reports and a method of assessment of the outcomes of this process. The initial audit identified that 27% of OH reports required modifications. Aims: To assess formally, following implementation of this process, if changes in practice had occurred, i.e. whether fewer deficiencies were being identified in reports. Methods: We repeated a prospective internal audit of all peer reviewed OH reports between September and November 2011. We used an abbreviated assessment form, based on questions 4–8 and 10–12 of the modified SAIL (Sheffield Assessment Instrument for Letters), with four possible outcomes: no action, no changes made to report following discussion with author, changes made without discussion with author and changes made following discussion with author. Results: One hundred seventy-three reports by 10 clinicians were audited. The audit identified a 13% reduction in OH reports requiring modifications (from 27 to 14%) compared with the previous cycle. Where modifications were required, 8% of these were related to minor typographical, spelling and grammar errors and 6% were for more complex reasons. Implementation of this process also produced a reduction in clinical complaints about OH reports from customers, from three in the preceding year to none 2 years later. Conclusions: Peer review improved the standard of OH reports and was associated with a reduction in customer complaints about reports.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Demou, Dr Evangelia and MacDonald, Professor Ewan and Lalloo, Professor Drushca
Authors: Lalloo, D., Demou, E., and Macdonald, E.B.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Public Health
Journal Name:Occupational Medicine
Publisher:Oxford University Press
ISSN (Online):1471-8405
Copyright Holders:Copyright © 2015 The Authors
First Published:First published in Occupational Medicine 65(6):440-443
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
620221MRC SPHSU/GU Transfer FellowshipsLaurence MooreMedical Research Council (MRC)MC_PC_13027IHW - MRC/CSO SPHU
727641SPHSU Core Renewal: Setting and Health Improvement Research ProgrammeKathryn HuntMedical Research Council (MRC)MC_UU_12017/12IHW - MRC/CSO SPHU