Current surgery-center leadership
Operations, staffing, supply/device procurement, medication oversight, and day-to-day perioperative workflow management in an outpatient setting.
About
The founder behind the analysis.
Perioperative Case Review is built around the kind of medical insight legal professionals actually need: focused, current, detail-driven analysis from someone who understands the operating room both clinically and operationally.
Founder story
Brianna Lewandowski, BSN, RN
Brianna’s path into this work did not begin with generic expert-witness branding. It began in real perioperative environments—scrubbing and circulating cases, managing OR workflow, coordinating staffing, and learning how surgical systems succeed or fail under pressure.
Her father was an investigative journalist. That influence shaped how she approaches records review: build the timeline, identify what is missing, question what does not fit, and keep the narrative tethered to facts. That investigative mindset is one of the defining qualities of the practice.
Today she leads 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.”
PCR is designed to help attorneys decide whether a surgical injury reflects an unavoidable complication, a documentation problem, a systems failure, or a preventable deviation from perioperative standards.
Clinical background
Experience that maps directly to perioperative liability questions.
These are the parts of Brianna’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
If it matters, I'll find it. If it happened, I'll prove it.
Patient safety isn’t a suggestion, it’s the standard. And in the operating room, when a patient is under anesthesia, they don’t have a voice. That’s where I come in.
Investigation isn’t just part of my skill set, it’s in my DNA. I was raised to ask the hard questions, to notice what others miss, and to follow the details all the way to the truth. As a perioperative nurse, I understand the precision, pressure, and complexity of the surgical environment. As a consultant, I use that knowledge to uncover what went wrong and why.
The OR runs like a well-rehearsed performance, until it doesn’t. When something feels off, I find it. When something was missed, I prove it.
How PCR works
Clear, objective analysis for the people making hard decisions.
I exist to protect the patient when they cannot protect themselves, and to bring clarity, accountability, and truth to every case I review.
- 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.