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  1. Korkis, Leah MSN, RN, AGCNS
  2. Ternavan, Kimberly MS/MBA, RN, NE-BC, CPHQ
  3. Ladak, Anila MSN, GNP-BC, CNS, RN-BC
  4. Maines, Michele MSN, RN, CNL
  5. Ribeiro, Denise MSN, MA, RN, RNC-NIC
  6. Hickey, Sharron JD, PHN, BSN, RN, CPHQ


The nursing peer-review process is an effective and underutilized method to enhance nurse accountability and ownership of patient care and nursing practice. This article describes how 1 hospital created a clinical nurse-driven, nonpunitive, peer case review structure and mentorship processes. This innovative structure provides a framework to support nurses through shared governance and supports organizational efforts including Magnet(R) and Just Culture initiatives.