Experiences of physicians investigated for professionalism concerns: a narrative review.

David S Im; Carrie M Tamarelli; Mary R Shen

Review

Experiences of physicians investigated for professionalism concerns: a narrative review.

March 13, 2024

Im DS, Tamarelli CM, Shen MR. J Gen Intern Med. 2024;39(2):283-300.

View more articles from the same authors.

When a physician's unprofessional behavior is reported by patients, families, or staff, an appropriate investigation must be conducted. While the investigations are critical for ensuring patient safety, physicians experience negative emotional and mental impacts, as well as changes to their clinical practice (e.g., defensive medicine). This review summarizes studies on physicians' experiences during and after investigations and mitigation strategies.

PubMed citation

Available at

Related Resources From the Same Author(s)

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Improving hospital infant safe sleep compliance by using safety prevention bundle methodology.

February 2, 2022

Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications.

March 1, 2017

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.

May 23, 2018

The effect of clinician feedback interventions on opioid prescribing.

April 27, 2022

Surveillance of medical device-related hazards and adverse events in hospitalized patients.

March 6, 2005

The safety of inpatient health care.

January 25, 2023

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.

September 5, 2012

Patient safety and quality improvement adaptation during the COVID-19 pandemic.

April 21, 2021

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

July 29, 2009

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.

December 2, 2020

Impact of vendor computerized physician order entry in community hospitals.

February 22, 2012

Disciplinary action by medical boards and prior behavior in medical schools.

January 4, 2006

Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants.

October 11, 2023

Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017.

May 22, 2019

Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system.

February 20, 2008

Adverse drug event reporting systems: a systematic review.

September 14, 2016

Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2).

September 18, 2013

Parents' perspective on safety in neonatal intensive care: a mixed-methods study.

July 23, 2014

Effect of hospital follow-up appointment on clinical event outcomes and mortality.

July 14, 2010

Parents' perspectives on navigating the work of speaking up in the NICU.

November 8, 2017

Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot?

September 18, 2019

Evaluation of medication-related clinical decision support alert overrides in the intensive care unit.

May 10, 2017

November 15, 2017

Incidence, patterns, and prevention of wrong-site surgery.

April 19, 2006

February 13, 2008

Analysis of surgical errors in closed malpractice claims at 4 liability insurers.

August 16, 2006

Effect of genetic diagnosis on patients with previously undiagnosed disease.

November 7, 2018

Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee.

January 22, 2014

Operational failures detected by frontline acute care nurses.

March 29, 2017

Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork.

May 28, 2008

The top patient safety strategies that can be encouraged for adoption now.

March 13, 2013

Advancing the science of patient safety.

May 25, 2011

Preventing home medication administration errors.

March 14, 2022

Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.

April 12, 2023

Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery.

May 26, 2010

Using social and behavioural science to support COVID-19 pandemic response.

June 3, 2020

Simulation-based assessment of the management of critical events by board-certified anesthesiologists.

September 13, 2017

Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial.

August 18, 2021

A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay.

October 24, 2007

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

A Department of Medicine infrastructure for patient safety and clinical quality improvement.

December 20, 2017

Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems.

September 4, 2019

Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study.

July 8, 2015

Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases.

August 24, 2011

American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology.

December 7, 2005

Crisis checklists for the operating room: development and pilot testing.

January 30, 2005

Simulation-based trial of surgical-crisis checklists.

January 30, 2013

Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors?

June 5, 2013

Potentially unintended discontinuation of long-term medication use after elective surgical procedures.

January 3, 2007

Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program.

February 1, 2023

Impact of nighttime rapid response team activation on outcomes of hospitalized patients with acute deterioration.

June 6, 2018

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.

December 14, 2022

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017.

September 23, 2020

Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.

July 13, 2022

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety.

July 19, 2023

Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors.

October 19, 2016

Adverse events in the paediatric emergency department: a prospective cohort study.

May 20, 2020

Indication alerts to improve problem list documentation.

January 26, 2022

Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE.

July 15, 2020

The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.

March 16, 2016

What did the doctor say? Health literacy and recall of medical instructions.

May 16, 2012

Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association.

August 21, 2013

Strategies for detecting adverse drug events among older persons in the ambulatory setting.

March 6, 2005

Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center.

December 2, 2009

The effects of on-duty napping on intern sleep time and fatigue.

June 21, 2006

Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance.

January 14, 2015

Teamwork before and during COVID-19: the good, the same, and the ugly….

August 24, 2022

Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease.

June 1, 2016

Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic.

July 28, 2021

Impact of sleep deficiency on surgical performance: a prospective assessment.

April 19, 2023

Decision making in trauma settings: simulation to improve diagnostic skills.

March 11, 2015

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

May 15, 2013

Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.

August 14, 2013

International evaluation of an AI system for breast cancer screening.

January 29, 2020

Implementation strategies in the context of medication reconciliation: a qualitative study.

July 14, 2021

How safe are paediatric emergency departments? A national prospective cohort study.

August 3, 2022

Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist counseling.

March 6, 2019

Patient activation related to fall prevention: a multisite study

February 19, 2020

Debriefing medical teams: 12 evidence-based best practices and tips.

September 3, 2008

Targeted versus universal decolonization to prevent ICU infection.

May 1, 2013

Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration?

August 24, 2005

Use of administrative data to find substandard care: validation of the complications screening program.

October 26, 2005

Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.

March 6, 2013

Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls.

May 10, 2017

A concept analysis of systems thinking.

January 18, 2017

National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism.

December 7, 2016

Negative behaviours in health care: prevalence and strategies.

February 20, 2019

December 2, 2015

Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes.

May 16, 2018

Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals.

August 26, 2015

A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety.

June 30, 2021

Implementation of an emergency department sign-out checklist improves transfer of information at shift change.

September 3, 2014

Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis.

February 20, 2019

Improving prescription drug warnings to promote patient comprehension.

January 20, 2010

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.

March 7, 2018

Related Resources

Bad behavior in healthcare: an insidious threat to patients, staff, and organizations.

April 17, 2024

The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis.

April 10, 2024

Journal Article

Study

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

April 10, 2024

A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling perspective.

March 6, 2024

Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review.

February 7, 2024

Disclosure of errors in surgical procedures.

January 19, 2024

Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review.

January 17, 2024

Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review.

January 10, 2024

Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review.

December 20, 2023

Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs.

November 8, 2023

Middle manager responses to hospital co-workers' unprofessional behaviours within the context of a professional accountability culture change program: a qualitative analysis.

November 8, 2023

Toxic leadership and its relationship with outcomes on the nursing workforce and patient safety: a systematic review.

October 25, 2023

Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021.

October 18, 2023

Perioperative team-based morbidity and mortality conferences: a systematic review of the literature.

October 11, 2023

Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review.

September 27, 2023

How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years.

September 20, 2023

Defining speaking up in the healthcare system: a systematic review.

September 20, 2023

In search of an international multidimensional action plan for second victim support: a narrative review.

September 13, 2023

Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk.

August 16, 2023

American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.

August 16, 2023

Physician burnout and medical errors: exploring the relationship, cost, and solutions received.

August 9, 2023

Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence.

August 2, 2023

Racism in health services for adolescents: a scoping review.

August 2, 2023

Incivility in healthcare: the impact of poor communication.

August 2, 2023

Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment.

July 12, 2023

Racial and ethnic disparities in obstetric and gynecologic care and role of implicit biases.

May 18, 2023

Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review.

May 10, 2023

Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.

April 26, 2023

Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt.

April 12, 2023

How would final-year medical students perform if their skill-based prescription assessment was real life?

February 22, 2023

See More About The Topic

Outpatient Surgery

Hospitals

Ambulatory Clinic or Office

Medicine

Psychological and Social Complications

Experiences of physicians investigated for professionalism concerns: a narrative review.

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Experiences of physicians investigated for professionalism concerns: a narrative review.

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site