Figure 8. System Review Recommendation, January-July 1999. Bar chart indicates the total number of actions recommended by the system review committee following review of each of the system occurrences--Report to charge RN: 2; Referral from Physician Peer Review: 4; Report to Wound Team: 4; Refer to QM/Risk Management; HPWG: 4; Report to PCS/NM: 5; Refer to Peer Review: 6; Review Policy/Procedure: 16; No Action: 19; Letter/Discuss with NM: 34

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