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July 28, 1999

Hospital Peer Review and Clinical Privileges ActionsTo Report or Not Report

Author Affiliations

Author Affiliations: Harvard School of Public Health, Harvard Medical School, Boston, Mass.

JAMA. 1999;282(4):381-382. doi:10.1001/jama.282.4.381

Historically, there have been 3 pillars of quality assurance in health care: self-regulation by hospital credentialing committees, malpractice litigation, and external regulation by licensure boards.1 Hospital oversight of credentials and privileges dates to the early part of this century and reflects the professional commitment to and enjoyment of self-regulation. Malpractice litigation, on the other hand, is a counterpoint to professional self-regulation. As with all tort law, malpractice is intended to deter poor-quality care by fixing economic sanctions onto practitioners who injure patients as a result of negligence.2

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