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The effects of disruptive behavior on patient safety

Some behaviours lead directly to medical mistakes. Pharmacists and nurses have reported reluctance to describe security concerns with a few physicians due to behaviour and a few have identified particular security incidents that have arisen because of this.

Seventeen per cent of respondents to this ISMP survey (2004) had felt pressurized to accept a drug order despite security issues on three or more events in the prior year; 13 per cent had refrained from calling a particular prescriber to describe an order on ten events.

Seven per cent stated that in the prior year they were engaged in a certain medication mistake where intimidation played a part. You can browse www.thedisruptivephysician.com/report-unsafe-working-conditions to know about disruptive behaviour.

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Fourteen per cent of 4530 respondents reported they were conscious of a particular adverse event associated with a tumultuous behaviour episode.

Along with the direct contribution to medical mistakes, disruptive behaviour can undermine a culture of security by its consequences on team functioning and communicating.

Other consequences of disruptive behaviour

Disruptive behaviour may also result in decreased patient satisfaction, improved complaints, greater litigation risk, low staff morale and higher staff turnover.

Many complaints were associated with inadequate behaviour and communication, not clinical problems, along with a few of physicians generated a disproportionate share of ailments; 9 per cent of physicians were responsible for 50 per cent of complaints.

Thirty-seven per cent of respondents were conscious of nurses who’d left their hospital because of disruptive behaviour.

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