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  1. LeClair-Smith, Colleen DNP, RN, NEA-BC
  2. Branum, Brandi MSN, RN, CCRN
  3. Bryant, Lindsay MSN, RN, CGRN
  4. Cornell, Betty BSN, RN
  5. Martinez, Heather MSN, RN
  6. Nash, Erin MSN, RN
  7. Phillips, Lacy MSN, RN, CCRN


This article describes how an acute care organization in Texas, a peer review mandated state, created a nonpunitive peer feedback structure and process for nursing staff. Strategies were targeted to improve patient outcomes. A peer feedback committee designed, implemented, and evaluated the feedback model to coexist with the state-required formal peer review committee structure. Peer feedback provided opportunities to advance skill development, enhance quality improvement, improve patient outcomes, and support a culture of safety within the healthcare environment.