Threatening and intimidating behavior
The link between so-called "disruptive" physician behavior and adverse patient outcomes is fossilized dogma and has in fact, spawned a whole industry of psychological testing and behavior-changing programs that health care corporations have embraced as it allows them to dis-employ physicians considered lacking in corporate docility.
I remember crawling into my soft bed, fan blowing softly but enough that I tucked my hair behind my ear to keep it from tickling my nose. A shadow crossed in front of the window headed toward the other dresser. I read his body language in the split second it took for him to pass through the moonlight. The whole time my heart was pounding and I was hoping he was unable to find another reason to rage.
The covers were heavy, cool with a hint of Downy April Fresh; my pillow cradled my head in a mother’s embrace. I smiled and waved from the window until he drove out of sight, then spun around, sat on the floor, and sobbed.
I fell asleep happy with the day, quietly looking forward to his return late in the night. The children were quiet in their own beds for a change. That wasn’t the first instance of terrorism in my marriage and it was far from the last.
I also ensure my family members have no contact with physicians I know are holier-than-thou, and prone to intimidating staff rather than admit errors or lapses in judgement.
Finally, I have developed a cast iron rear-end over the years.
Nurses who are yelled at and humiliated for asking for clarification, articles on why bully doctors are bad doctors, etc etc. And I wouldn't put anyone I know or love in the hands of someone who does not make it safe to question.
I will agree with you on one point: Some of the most disruptive are also some of the nicest-to their patients. PM Jul 1st Lee RN-CI have been a nurse for 35 years, and those years, I have been subjected to countless instances of physicians suffering from "God Syndrome".
“Where are my [email protected]&i*g Instinctively I knew the man in my bedroom was my husband, but his actions seemed so foreign to the setting that he seemed more like a demon hiding in the shadows only to appear suddenly right in front of me, forearms straddling my hips.College of Physicians and Surgeons of Ontario: Guidebook for managing disruptive physician behavior.Toronto, 2008, Files/downloads/cpsodocuments/policies/positions/CPSO DPBI Guidebook(1)(accessed September 16, 2013) SOM_RN - Salt Lake City, UTTo lars aanning, who has never seen an adverse patient event from a so-called 'disruptive' physician.We now accept that most errors are committed by “good, hardworking people trying to do the right thing,” and that to improve patient safety we should focus on designing systems which ensure a safe culture rather than trying to identify who is at fault. Individuals who have a history of disruptive behavior also pose the highest litigation risk for American hospitals, and many would argue that such behavior is inconsistent with the highest professional standards.Several groups have described approaches for dealing with disruptive and intimidating behavior; the ones which seem most adaptable are those from the College of Physicians and Surgeons of Ontario and the Vanderbilt group.
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I am wondering why it is that you do not see a problem with, or want to consider the word 'disruptive' when referring to a physician who snaps at a resident, nurse or medical student when they ask a question or want clarification.