Disruptive Healthcare Provider Behavior

This book explores a rapidly growing area of discussion in the health care industry, disruptive behavior in medical providers. The presence of disruptive behavior adversely impacts the providers of all disciplines: paraprofessional personnel, nurses, physicians and administrators. But more importantly, there may be a greater detrimental effect on quality and patient safety. This has led to mandated regulatory requirements that assist healthcare institutions in developing programs to address the problem. The book presents an evidence-based analysis of the disruptive provider behavior that defines the incidence, demographics, and profile of the behavior; discusses the specialties and work locations predisposed, as well as the interface with residents and nurses. The importance of patient safety, economic, and legal issues are addressed by a comprehensive, management strategy to effect positive, sustainable culture change in healthcare.

This book is to inform doctors and healthcare providers of what behavior can be classified as disruptive, and how easily a physician can be "labeled" and go down a path of doom! The problem is that many doctors don't even realize that by simply being themselves, with no intent to cause harm, they stumble into an accusation of being termed "Disruptive." An accusation can cause severe anguish. Many have gone down the road of being labeled a disruptive physician and have never even heard the term. Many have been afraid, angry, sad, incredulous and asked, "How could this happen?" As a physician, I began doing extensive research to educate myself and, after much work, was able to identify the causes and how to correct a situation. This book is designed to help you avoid exhibiting behavior that can be considered disruptive, and successfully navigate the process after an accusation has been made, or worse, if you have already been investigated and labeled disruptive. This book is for you, the healthcare provider, who is required to go through any type of licensing board for behavioral issues; a medical physician, an osteopathic physician, a nurse, a physician assistant, a pharmacist or veterinarian, and for all who want to learn more about what it means to be labeled a disruptive physician. This book is for the CEO, the medical staff office, and the Medical Executive Committee, to better understand physician behavior and how we are all affected. After you have read this book, you will have a thorough understanding of what it means to be a disruptive physician. In addition, if you find yourself or others going down this path, this will be a guidebook to traverse the journey. I provide all the tools, resources, and information you need to succeed.

This fully updated second edition focuses on mental illness, both globally and in terms of specific mental-health-related visits encountered in emergency department settings, and provides practical input from physicians experienced with adult emergency psychiatric patients. It covers the pre-hospital setting and advising on evidence-based practice; from collaborating with psychiatric colleagues to establishing a psychiatric service in your emergency department. Potential dilemmas when treating pregnant, geriatric or homeless patients with mental illness are discussed in detail, along with the more challenging behavioral diagnoses such as substance abuse, factitious and personality disorders, delirium, dementia, and PTSD. The new edition of Behavioral Emergencies for Healthcare Providers will be an invaluable resource for psychiatrists, psychologists, psychiatric and emergency department nurses, trainee and experienced emergency physicians, and other mental health workers.

A Practical Guide to Managing Disruptive and Impaired Physicians, Second Edition R. Dean White, DDS, MS Real-world solutions to problem physician behavior Don't let disruptive physician behavior negatively affect your hospital's operations or put your patients, staff, and colleagues at risk. This resource will help you implement a sound program to manage impairment and prevent disruptive physician behavior. Stop disruptive physician behavior at the door through good credentialing Set and communicate clear expectations of behavior Create policies and procedures using customizable samples Provide feedback to physicians regarding their behavior Identify when disruptive behavior is an indicator of impairment Collaborate with physicians to successfully eliminate undesirable behavior Learn when it is appropriate to take corrective action that limits a physician's membership and/or privileges Comply with Joint Commission requirements Take a look at what's covered in this edition: Additional insight into physician impairment More than 30 new forms and policies Real-world case studies that put theory into practice Innovative solutions and insight provided by an in-the-trenches medical staff advisor The table of contents includes: Disruptive behavior: What it is, and what it is not The power of the pyramid: A common sense approach to physician behavior and performance Credentialing: Stopping disruptive behavior at the door Setting and communicating behavior expectations Measuring problem behavior Master the art of providing feedback Managing poor performance: How to intervene to stop disruptive physician behavior Managing the disruption of impairment Taking corrective action: What to do when you reach the top of the pyramid The critical role of the CEO and the board of trustees The medical staff advisor Laying down the law: Annotated legal cases of disruptive physician behavior Who will benefit? Medical director Quality director/manager Chief executive officer Chief operations officer Chief medical officer VPMA Medical staff coordinator Department chair Wellness, peer review, and credentials committee chairs

According to the National Patient Safety Foundation, about 440,000 deaths from hospital mistakes are expected in 2018. These mistakes are preventable, but the number of deaths has been increasing for the last two decades instead of decreasing. This book describes how to prevent deaths at very low cost and get very high return on investment (ROI). The unique feature of this book is that it teaches the tools of innovation that anyone can master. It teaches healthcare staff how to manage innovation efficiently and quickly, because each patient life is critical. This second edition points out why the present methods are ineffective and shows how to find elegant solutions that are simple, comprehensive, and produce high return on investments. The second edition contains all updated material with the addition of a new chapter on systems engineering for robust improvements, a practice that has been applied in most high-risk industries, such as aerospace, defense, and NASA, for years. It aims at redesigning systems to make sure right things, right coordination and right integration happens in healthcare systems.

This casebook tackles the common psychiatric illnesses that physicians experience during these early stages of their careers. The cases carefully present guidelines for assessment and management, along with clinical pearls and resources for further reference. Written by experts in the field, the text is designed to be valuable for physicians engaged in medical education and training, and specifically for the psychiatrists who provide care for other physicians. Each chapter includes a unique case and discussion. Topics include: onset of a mood and or psychotic disorder, life transitions, trauma in care, physician suicide, anxiety, and other issues that are part of the experience of young adults developing their personal and professional identities. Early Career Physician Mental Health and Wellness is an excellent guide for all physicians interested in mental health and wellness, including psychiatrists, psychologists, training directors, hospital leadership, mentors, students, residents, and others.