title: Disruptive and toxic behaviors in healthcare: zero tolerance, the bottom line, and what to do about it.
abstract: In this economic downturn, healthcare leaders must attend to both the human- and bottom-line. Unfortunately, one significant problem affecting both-disruptive behaviors-has long been under the radar screen in healthcare. People who habitually exhibit these behaviors have been referred to in many ways: toxic, uncivil, and intimidating, to name a few. This article provides the results of the authors' research study of over 400 leaders and mitigation strategies for dealing with toxic, uncivil behaviors. In particular, it presents a three-point systems approach for intervention--one that is both proactive and reactive, and aligned with the new Joint Commission standards.
authors.affiliation: Antioch University, 11802 Colleyville Drive, Austin, TX 78738, USA. eholloway@antioch.edu
authors.forename: Elizabeth L
authors.initials: EL
authors.lastname: Holloway
authors.forename: Mitchell E
authors.initials: ME
authors.lastname: Kusy
mesh_terms: D003220:Conflict, Psychological; D006801:Humans; D007400:Interprofessional Relations; D016134:Organizational Policy; D011216:Practice Management, Medical