Brief Report  |   December 2017
Redesigning the Peer Audit Process to Enhance Clinical Dialogue
Author Affiliations
  • Marianne R. Orest, PT, MEd, is Therapy Research Educator, Rehabilitation Therapies, University of Vermont Medical Center, Burlington; marianne.orest@uvmhealth.org
  • Steven Eyler, MS, OTR/L, is Director of Therapy, Rehabilitation Therapies and Respiratory Care Services, University of Vermont Medical Center, Burlington
Article Information
Professional Issues / Rehabilitation, Participation, and Disability / Research Articles
Brief Report   |   December 2017
Redesigning the Peer Audit Process to Enhance Clinical Dialogue
American Journal of Occupational Therapy, December 2017, Vol. 72, 7201205040p1-7201205040p8. doi:10.5014/ajot.2018.020941
American Journal of Occupational Therapy, December 2017, Vol. 72, 7201205040p1-7201205040p8. doi:10.5014/ajot.2018.020941
Abstract

This case report describes the process used to engage clinicians in redesigning the peer audit system and the outcome of this effort at the Rehabilitation Therapies department of the University of Vermont Medical Center in Burlington. A wide variety of peer audit processes, tools, and requirements have been used across disciplines and clinical sites. Rehabilitation therapy staff participated in a group project using a project charter to design the new approach to the peer audit. A single peer audit tool and unified audit process were developed for use across therapy disciplines and care settings. A survey was used to collect pre- and postrevision data. Responses to all survey questions indicated favorable change. Broad engagement of clinical staff in the redesign resulted in a peer audit process that was completed more consistently and was more likely to be perceived as resulting in meaningful discussion, encouraging critical thinking, and improving clinical skills.