Case Screening
Rapid review to assess whether a matter presents plausible perioperative liability, where the workflow may have failed, and what records are still missing.
Independent review
Surgical case review with OR-level credibility.
Perioperative Case Review helps legal professionals and healthcare organizations determine whether a surgical injury was an unavoidable complication or a preventable breakdown in perioperative care.
Investigative rigor. Clinical empathy. Case clarity.
What this practice does
Focused, attorney-friendly medical insight.
Perioperative Case Review is structured around the work legal teams actually need: issue spotting, record interpretation, chronology, and focused perioperative analysis that supports case strategy and internal review.
Chronology + Analysis
Build a clean timeline, clarify handoffs and count issues, and turn complex charting into attorney-ready narrative.
Litigation Support
Focused perioperative support for declarations, deposition preparation, expert coordination, and evolving case strategy.
Founder
Brianna Lewandowski, BSN, RN
Brianna combines operating-room depth with the instincts of an investigator. Her father was an investigative journalist, and that influence shows up in the work: facts first, clean narrative, and no tolerance for vague explanations when patient-safety systems fail.
- Current surgery-center nurse manager
Operations, staffing, supply and medication oversight, perioperative workflow leadership. - Former OR charge nurse
Leadership over pre-op, intra-op, and PACU coordination, plus outpatient plastics and ENT workflows. - Scrub + circulate depth
Experience across neurosurgery, orthopedic spine, plastics, ENT, trauma, general surgery, gynecology, and more.
PlasticsBreast reconstruction, fat grafting, liposuction, and outpatient procedural flow.
Ortho + SpinePositioning, implant workflow, retained-item risk, and sterile process analysis.
ENTAirway-sensitive perioperative workflow and ambulatory surgical coordination.
NeuroCraniotomies, shunts, spine, and higher-acuity OR safety expectations.
Case focus
The issues this site should own.
We centered the brand around perioperative problems most aligned with Brianna’s background and the types of matters where targeted nursing review is most useful.
Retained surgical items
Sterility breaches / SSI risk
Wrong-site safeguards
Positioning injuries
Count discrepancies
Handoff failures
Outpatient surgery center workflow
Plastics / cosmetic complications
Incomplete documentation
Pre-op / PACU continuity failures
How engagement works
Simple intake. Fast signal. Clean next steps.
1
Attorney sends records
Core records, basic allegations, and any known red-flag concerns.
2
Initial case screen
Rapid review for perioperative liability issues, missing records, and key workflow breakdowns.
3
Deeper review if meritorious
Chronology, standard-of-care analysis, event reconstruction, and expert-handoff preparation.
4
Strategic support
Clarify records, identify missing documentation, and support counsel before deposition or expert retention.
5
Repeat-firm relationship
Build a dependable intake and litigation-support channel for future surgical matters.
FAQ
Attorney questions we expect.
Do you work on both plaintiff and defense matters?
Yes. PCR is positioned as an independent perioperative review practice that can support plaintiff counsel, defense counsel, insurers, and healthcare organizations.
Do you publicly list pricing?
No. We handle scope and fees directly after understanding the records, case posture, and turnaround needs.
What makes this niche credible?
The work is grounded in real OR, ASC, and charge-level experience—not generic medical-legal marketing language.
How should firms send records?
We recommend starting with minimal, non-PHI summary information and moving to a secure record-sharing workflow once fit is confirmed.
Need a quick read on a surgical case?
Start with a focused conversation. We’ll determine fit, discuss available records, and outline the fastest path to useful case signal.