Disruptive Behavior In Healthcare OR, Nutzo, APA 'Mentally Ill' HC Workers: Again

Fierce Healthcare has;
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.
For more:
- here's the Knowledge@Wharton interview

Related Articles:
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?

http://www.leginfo.ca.gov/cgi-bin/displaycode?section=bpc&group=02001-03000&file=2220-2319


Does anyone have a problem understanding the plain and unequivocal terms Equal Protection, and Due Process?

Amendment 14, US Constitution 1868

Section. 1. All persons born or naturalized in the United States, and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside. No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.

Does Anybody have a Problem understanding What, Violation of Equal Protection and Due Process actually Is?

http://uscode.house.gov/download/pls/18C13.txt

CITE-
    18 USC Sec. 241                                             01/03/2012 (112-90)

-EXPCITE-
    TITLE 18 - CRIMES AND CRIMINAL PROCEDURE
    PART I - CRIMES
    CHAPTER 13 - CIVIL RIGHTS

-HEAD-
    Sec. 241. Conspiracy against rights

-STATUTE-
      If two or more persons conspire to injure, oppress, threaten, or
    intimidate any person in any State, Territory, Commonwealth,
    Possession, or District in the free exercise or enjoyment of any
    right or privilege secured to him by the Constitution or laws of
    the United States, or because of his having so exercised the same;
    or
      If two or more persons go in disguise on the highway, or on the
    premises of another, with intent to prevent or hinder his free
    exercise or enjoyment of any right or privilege so secured - 
      They shall be fined under this title or imprisoned not more than
    ten years, or both; and if death results from the acts committed in
    violation of this section or if such acts include kidnapping or an
    attempt to kidnap, aggravated sexual abuse or an attempt to commit
    aggravated sexual abuse, or an attempt to kill, they shall be fined
    under this title or imprisoned for any term of years or for life,
    or both, or may be sentenced to death.

-CITE-
    18 USC Sec. 242                                             01/03/2012 (112-90)

-EXPCITE-
    TITLE 18 - CRIMES AND CRIMINAL PROCEDURE
    PART I - CRIMES
    CHAPTER 13 - CIVIL RIGHTS

-HEAD-
    Sec. 242. Deprivation of rights under color of law

-STATUTE-
      Whoever, under color of any law, statute, ordinance, regulation,
    or custom, willfully subjects any person in any State, Territory,
    Commonwealth, Possession, or District to the deprivation of any
    rights, privileges, or immunities secured or protected by the
    Constitution or laws of the United States, or to different
    punishments, pains, or penalties, on account of such person being
    an alien, or by reason of his color, or race, than are prescribed
    for the punishment of citizens, shall be fined under this title or
    imprisoned not more than one year, or both; and if bodily injury
    results from the acts committed in violation of this section or if
    such acts include the use, attempted use, or threatened use of a
    dangerous weapon, explosives, or fire, shall be fined under this
    title or imprisoned not more than ten years, or both; and if death
    results from the acts committed in violation of this section or if
    such acts include kidnapping or an attempt to kidnap, aggravated
    sexual abuse, or an attempt to commit aggravated sexual abuse, or
    an attempt to kill, shall be fined under this title, or imprisoned
    for any term of years or for life, or both, or may be sentenced to
    death.