This study describes the impact of an upgraded patient safety reporting system that includes an option for positive reporting (e.g., teamwork, positive behavior) at a single academic medical center. The upgraded system resulted in a significant increase in the quantity and length of event reporting. The authors suggest that allowing for positive behavior reporting contributes to a culture of safety, which may have led to an increase in event reporting overall.

Disruptive behavior among clinicians remains common despite efforts to address it. This qualitative study with operating room staff identified numerous descriptive instances of disruptive behavior by general surgeons. The authors outline a conceptual model of the factors that encourage such behavior.