The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
Dang D, Bae S-H, Karlowicz KA, et al. J Nurs Care Qual. 2016;31:115-123.
This survey of clinicians at an academic medical center found that disruptive behavior was common, with 1 in 8 respondents reporting that they had witnessed an episode of disruptive behavior by a clinician that directly resulted in harm to a patient.
Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2012;28.
Health care has a history of tolerating intimidating and disruptive behavior by clinicians. However, with increased recognition of the importance of safety culture in preventing errors, organizations are taking steps to identify staff who regularly engage in demeaning or threatening behaviors. Conducted at a large academic medical center, this study used a newly developed survey to determine the incidence of disruptive behaviors and their precipitating factors. The vast majority of respondents (which included physicians, nurses, and allied staff) reported experiencing disruptive behavior, most often from another member of their own profession. Production pressures and system inefficiencies were identified as a principal factor contributing to disruptive behavior. A recent commentary highlighted the pervasive culture of disrespect in medicine and the pernicious role it can have on patient safety, and a recent article and perspective detail how organizations are seeking to rehabilitate persistently disruptive clinicians.
Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2010;25:105-116.
Nurses reported routinely experiencing a broad range of disruptive and unprofessional behavior, ranging from simple incivility to outright harassment and physical confrontation. This focus group study also explores personal and organizational factors contributing to such incidents.