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3 Tips To Defuse Disruptive Behavior In Healthcare
April 2, 2013 | By Alicia Caramenico
With hospitals cracking down on disruptive workers, healthcare leaders must be armed with information on how to handle disruptive and inappropriate behaviors.
Consider the following tips to prevent unprofessional conduct from interfering with the safety and well-being of patients and staff.
1. Educate managers
A major step to thwarting behavioral issues is educating managers about the different types of unprofessional conduct and their cost, Jody Foster, head of the Professionalism Program at Penn Medicine, told Knowledge@Wharton. Disruptive behavior includes everything from verbal or physical threats, intimidation of co-workers and condescending comments to egocentricity or obsessionality, Foster noted.
And managers must be aware that rude work behavior comes with a hefty price tag. A January study from Georgetown University researchers suggests workplace incivility hurts the bottom line by prompting reduced work effort and quality, FierceHealthcare previously reported.
"When they act out in inappropriate ways--by, for example, bullying employees who work under them, compulsively micro-managing, displaying narcissistic tendencies--it can be devastating to the entire workplace," Foster said.
2. Address workplace behavior at the front door
Efforts to create a good work environment must start during the interview process. Foster recommended seeing how potential members cooperate with each other before assembling a management team.
She also noted that it's vital to screen job applicants for potential behavioral issues. "Making a mistake in the initial hiring is especially damaging because once you allow someone in, it's not always easy to get him or her out," Foster warned.
To ensure early detection and resolution, hospitals should create a professionalism committee to intervene before behavior problems worsen. The committee doesn't just identify bad behavior but also offers treatment plans, she told Knowledge@Wharton.
3. Align type of conduct offender, retribution
Hospitals must identify the three major categories of medical professional conduct offenders and handle each differently, according to physician executive and Hospital Impact blogger Jonathan Burroughs.
Rare and episodic offenders represent about 98 percent of medical staff--physicians who have rare lapses of professionalism in highly stressful situations--while approximately 1.9 percent of medical staff have an established pattern of conduct violations.
And 0.1 percent of medical staff fall in to the egregious category, which consists of individuals who have committed activities such as aggravated assault or battery, sexual misconduct, intoxication while caring for sick patients, significant destruction to property or equipment, Burroughs noted.
"The key is to create a fair process that differentiates between the severity, frequency and intensity of the individual incident(s), and therefore treats professionals in a respectful and trusting manner," he wrote last week in a blog post.
- here's the Knowledge@Wharton interview
Hospitals have had it with misbehaving docs
How rude! Workplace incivility hurts bottom line
Calling attention to disruptive hospital CEOs
Support front-line staff for happier patients, workers
Thank You Fierce Healthcare and Ms Caramenico
No, You toss them into a Psych Ward for 72hrs, Diagnose them and Strip them of Their Bill of Rights, and Bullshit/Browbeat/Force them into a time release Chemical Lobotomy:
Evidence For The Neurotoxicity Of Antipsychotic Drugs, Dr Grace Jackson
And/Or subject them to a series of high voltage Electrical Shocks through their Brains:
ECT: Cost/Benefit Analysis So Poor, It's Use Cannot Be Justified
Ooops, wait a minute, can't have That, because they're Exempt from the depredations of their Co-Working Psychiatric MDs:
California Diversion Programs
And the Program for MDs themselves?
Does anyone have a problem understanding the plain and unequivocal terms Equal Protection, and Due Process?
Amendment 14, US Constitution 1868