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Physicians' “Disruptive” Behavior: Consequences for Medical Quality and Safety

mines practice morale, heightens turnover in the practice or organization, steals from productive activities, increases the risk of ineffective or substandard practice, intimidates or threatens harm to others, and disproportionately causes distress to others in the workplace.” Disruptive physicians control, intimidate, or harm others. Some fervently believe they are trying to correct a wrong that is preventing them from delivering superb medical care. Others intimidate or threaten because they have observed that those who are the loudest succeed in accomplishing their immediate goals. Still others are unaware of their actions or the possible consequences because they lack insight; have not been given consistent, direct feedback; or have established a worldview that only allows blame on others in response to problems.* Regardless of the rationale, disruptive behavior is unprofessional. Disruptive behavior cultivates a hostile work environment, increases litigation risk and shared liability, damages the worksite or colleagues, and diverts human and financial resources away from quality patient service. THE STRAIN OF MANAGING DISRUPTIVE SITUATIONS AND DISRUPTIVE PROFESSIONALS