title: The quality and economic impact of disruptive behaviors on clinical outcomes of patient care.
abstract: Disruptive behaviors have been shown to have a negative impact on work relationships, team collaboration, communication efficiency, and process flow, all of which can adversely affect patient safety and quality of care. Despite the growing recognition of the damage that can be done, there are still pockets of resistance to taking action to address the issue head-on. Given the new call to action from the Joint Commission accreditation standard and the growing public accountability for patient safety, organizations need to recognize the full impact of disruptive behaviors and implement appropriate policies, procedures, and educational programs to raise levels of awareness regarding the seriousness of the issue, hold individuals accountable for their behavior, and provide training and support not only to reduce the incidence and consequences of disruptive events but also to improve efficiency of communication and team collaboration in an effort to improve outcomes of care.
authors.affiliation: ValleyCare Hospital, Pleasanton, CA, USA. ahrosensteinmd@aol.com
authors.forename: Alan H
authors.initials: AH
authors.lastname: Rosenstein
mesh_terms: D001291:Attitude of Health Personnel; D001519:Behavior; D003142:Communication; D003299:Cooperative Behavior; D004282:Documentation; D017721:Hospital Costs; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D015279:Organizational Culture; D061214:Patient Safety / Q000191:economics / Q000706:statistics & numerical data*; D010820:Physicians / Q000523:psychology*; D057766:Policy; D011787:Quality of Health Care / Q000191:economics / Q000706:statistics & numerical data*