Titlebook: Disruptive Healthcare Provider Behavior; An Evidence-Based Gu Rade B. Vukmir Book 2016 Springer International Publishing Switzerland 2016 d

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Profile of the Behavior,Clearly, effective analysis, intervention, and improvement begin after identifying the situational attributes that make problem-prone behavior even more likely to occur in the often stressful health-care setting.

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Strategies for Improvement,An essential skill for efficient and effective operations is the ability to resolve conflict.

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Scope of the Problem,al manifestations, such as substance abuse, mental illness, and drug and/or alcohol dependence. However, dealing with disruptive behavior in the health-care arena, which is more nuanced, has posed a significant challenge beyond just discovery. In a broad-brush description, Veltman [1] called disrupt

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Organizational Approach,ociations, state licensing boards, medical societies, and consultant and regulatory oversight groups. Based on its 2000 report, the American Medical Association (AMA) [1] issued Opinion 9.045—Physicians with Disruptive Behavior—as part of its code of ethics. This formal opinion, however, covers only

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Maturation of the Analysis,ed to focus on a single person or behavior rather than on an interface between a system and multiple participants in the event. It was felt that this behavior was a problem resting solely with the physician, and therefore the . label was applied. It became recognized, however, that perhaps it was no

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Specialty at Risk,d specialty or service line. Indeed, Rosenstein and O’Daniel [1] found that certain specialties seem to be more prone to this behavior (Table 7.1), with surgical disciplines and some medical procedural specialties more highly represented than primary care disciplines. The practitioners most commonly

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Physicians in Training,f professional accountability were defined by an expert consensus panel in a think tank environment [1]. The panel made the following recommendations: (1) Clear expectations should be set regarding the behavior of both faculty and residents. (2) For any behavioral deficiency cited for tracking, the