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    Is peer review worth saving?

    An increasingly vocal group of physicians says the hospital peer review process is misused to strike down competitors and outliers.

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    Orthopedic surgeon S. Jay Jayasankar, who as chairman of the MMS's Committee on Medical Service helped develop the model principles, hopes that the Joint Commission on Accreditation of Healthcare Organizations will adopt them, because the Commission can make a hospital's accreditation dependent on whether it administers peer review fairly.

    "The profession and JCAHO must ensure that peer review focuses only on quality improvement," Jayasankar continues. "In the end, it's the patient who is hurt if poor practices aren't corrected and good ones promulgated."

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