The themes (Section 6) were used for discussion and to develop a series of recommendations, also presented as a list in Section 3. 12 Investigation into quality incidents and peer review in radiology in BC 5. Findings Most of the findings in this report relate to work done since the Cochrane report and how medical administrative tasks are carried out in health authorities. [...] Physician credentialing, privileging and review Recommendations 24 to 29 of the Cochrane report led to the development of the CACTUS system (Section 5.3.2) and credentialing & privileging dictionaries (Section 5.3.4) which have together achieved significant improvement in the quality of credentialing and privileging across the province. [...] Some elements have benefitted from the introduction of the CACTUS system for credentialing and privileging, and from the introduction of the privileging Dictionaries, as a result of Cochrane recommendations. [...] In all cases, the requirement for either a permanent post (new or replacement) or a locum should come from a need identified by the Department Head or the local site in the context of the HA’s Medical HR Plan (there should be one), and the process of ensuring resource availability should be a prerequisite to recruitment. [...] Credentialing The HA-based process of applying for an appointment begins with the physician-applicant completing a web-based online application in the CACTUS system, with supporting documentation including a Certificate of Professional Competence from the College of Physicians and Surgeons of BC (CPSBC), insurance coverage from the Canadian Medical Protective Association (CMPA), the names of three