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Chipps E, Stelmaschuk S, Albert NM, Bernhard L, Holloman C. AORN J. 2013;98:479-493.
Although this survey of perioperative nurses, technologists, and unlicensed staff in two academic medical centers found disruptive behavior to be common, staff did not perceive any impact on patient safety, contrary to evidence. An AHRQ WebM&M commentary discussed how a physician reacted negatively after a nurse spoke up about his unsafe practice.