Incident Based Nursing Peer Review Process

Decent Essays
Incident-Based Nursing Peer Review Process

Incident based peer review take place when a nurse’s action or practice is questionable or a hospital receives a complaint regarding a nurse’s conduct. Therefore, the purpose of the incident based peer review is to determine if a nurse’s action or practice was a minor incident that can be remediated or if the nurse’s continued practice represents “risk of harm” to a patient or other person; In the event that the nurse’s practice is determined to be “risk of harm,” the nurse shall be reported to the Texas Board of Nursing (BON).
In order “to attain Magnet recognition, an organization must establish formalized, systematic peer-review nursing practice to evaluate nursing care and nursing-care providers”
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The policy is named NR 401 Incident Based Nursing Peer Review and states that “the peer review process is one of fact finding, analysis and study of events by nurses in a climate of collegial problem solving focused on obtaining all relevant information about an event” (NR 401, 2014, p. 1-2). The NPRC determines if a nurse should be reported to the BON when his or her conduct fells on one of the criteria for reportable conduct under the Texas Occupations Code (TOC) 301.401. These criteria are: a violation of the Nursing Practice Act (NPA) or a BON rule, the nurse’s practice is impaired by chemical dependency or drug or alcohol abuse, the nurse is suspected of abuse, exploitation, fraud or violation of professional boundaries, or the nurse knowledge, skill, judgement, or conscientiousness indicates that his or her continued practice could represent a risk of harm to a patient or other. Also, the NPRC determines whether other factors beyond the nurse’s control may have contributed to any deficiency in nursing care. If external factors are found, this information is communicated to the Patient Safety Committee or Interdisciplinary …show more content…
The requirements under the Incident Based Peer Review Section 217.19 (i)(4) of the Committee Responsibility to Evaluate and Report requires the NPRC to report the identity of the nurse, description of the conduct reported, description of the corrective action taken against the nurse, a recommendation as to whether the Board should take formal disciplinary actions against the nurse and the basis for the recommendation, the extent to which any deficiency in care was the result of a factor beyond the nurse’s control, and any additional information the Board requires. As a result, “following these rules will not only assist the Board in their investigation, but also help to promote public safety” (Message to Peer Review Committees: Sending Information to The Board of Nursing,

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