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Ernest J. Ring, MD; Jane E. Hirsch, RN, MS; October 2009
Cardiology consultation on an elderly man admitted to the orthopedic service following a hip fracture reveals aortic stenosis. The cardiologist recommends against surgery, due to the risk of anesthesia. When the nurse reads these recommendations to the orthopedic resident, he calls her "stupid" and contacts the OR to schedule the surgery anyway. The Chief Medical Officer is called to intervene.
Kowalczyk L. The Boston Globe. August 10, 2008;Metro section:1A.
This article describes how physician outbursts can affect patient safety and discusses a new Joint Commission policy that supports actions against providers who engage in disruptive behavior.