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From today's viewpoint it seems almost inconceivable that there once was a time where academia functioned without peer review processes, which are now so much part and parcel of the academic environment. Peer review is mainly taken for granted and we assume that it generally works well in estimating the worth of academic outputs of differents kinds (publications, grant proposals etc.) However, the process itself is not free of criticism and much can still be done to improve review quality. In this paper I explore and question the purpose and function of peer review, engage with various problems that can occur in the process, and make suggestions for ways in which peer review might be improved. It is based on empirical research, participation in various peer review forms and observation of accreditation practice.