Current surgery-center leadership
Operations, staffing, supply/device procurement, medication oversight, and day-to-day perioperative workflow management in an outpatient setting.
About
A founder-led perioperative review practice.
Perioperative Case Review was founded to give legal teams and healthcare organizations access to current, disciplined operating-room analysis without generic expert-marketing language. The practice is founder-led, process-driven, and built for matters where perioperative detail changes the case.
Founded by
Brianna Lewandowski, BSN, RN — Founder & Clinical Director
The practice did not begin as a generic expert-witness brand. It grew from real perioperative environments—scrubbing and circulating cases, managing OR workflow, coordinating staffing, and learning how surgical systems succeed or fail under pressure.
The founder’s father was an investigative journalist. That influence shaped the practice’s approach to records review: build the timeline, identify what is missing, question what does not fit, and keep the narrative tethered to facts. That investigative mindset remains one of the defining qualities of the work.
Today the practice is directed by a founder who still works in a surgery-center environment while drawing on prior charge-nurse and multi-system hospital experience. That combination gives legal teams something unusually useful: current clinical relevance plus operational perspective.
“The goal is not to make records sound more dramatic. It is to make them clearer.”
Perioperative Case Review is designed to help attorneys, carriers, and healthcare organizations decide whether a surgical injury reflects an unavoidable complication, a documentation problem, a systems failure, or a preventable deviation from perioperative standards.
Practice profile
Founder-led. Structured. Deliberate.
The brand is intentionally presented as a founder-led practice rather than a generic expert directory listing. Every engagement is scoped, reviewed, and directed by the founder through a defined intake and review process.
Clinical background
Experience that maps directly to perioperative liability questions.
These are the parts of the founder’s background that matter most from a litigation-support standpoint.
Charge-level operating room experience
Workflow optimization, pre-op / intra-op / PACU coordination, training support, and operational troubleshooting across outpatient settings.
Scrub and circulate depth
Hands-on experience across plastics, orthopedic spine, neurosurgery, ENT, trauma, general surgery, gynecology, urology, and ambulatory procedures.
Mission Statement
Independent review. Clear chronology. Founder-led oversight.
Patient safety is the standard, not the aspiration. When an operating-room event raises questions about workflow, documentation, counts, sterility, positioning, or handoffs, the practice is built to help make the record clearer.
The founder-led model matters here. It means the work is not handed off to a generic analyst. The same clinical leader who shaped the practice also directs the review, frames the timeline, and identifies what matters most in the perioperative record.
The goal is not to dramatize the chart. It is to clarify what happened, what was missed, and whether the record supports a systems failure, a documentation issue, or a preventable deviation from perioperative standards.
How PCR works
Clear, objective analysis for the people making hard decisions.
Perioperative Case Review exists to bring clarity, accountability, and current clinical context to matters where the operating-room record matters.
- Objective perioperative review for plaintiff counsel, defense counsel, insurers, and healthcare organizations.
- Record-based analysis anchored in standards of care, not advocacy language.
- Attention to counts, sterility, positioning, handoffs, workflow, and documentation integrity.
- Communication that is useful to both legal strategy and internal clinical review.
Practice values
How PCR approaches every case.
Facts firstEvery opinion starts with the records, the workflow, and what can be reasonably reconstructed from the chart.
Attorney usabilityThe output should help the case move forward, not add more noise to an already complex record set.
Patient-centered clarityEmpathy matters, but the work stays anchored in concrete perioperative standards and documentation.
Need a surgical matter reviewed or evaluated?
If the record is dense, the timeline is unclear, or the perioperative questions are driving the case, start the conversation here.
