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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.
List of contents
Introduction.- Scope of the Problem.- Organizational Approach.- Maturation of the Analysis.- Profile of the Behavior.- Location at Risk.- Specialty at Risk.- Physicians in Training.- Etiology.- Nursing Interface.- Patient Safety.- Policy and Guidelines.- Economic Issues.- Legal Interface.- Regulatory Interventions.- Strategies for Improvement.- Educational Process.- Management's Responsibility.- Conclusion.- Appendix: Situational Analysis and Approach: Case Scenarios.
About the author
Rade B. Vukmir, MD, JD, FCCP, FACEP, FACHE
President, Critical Care Medicine Associates
Professor (Adjunct) of Emergency Medicine, Temple University School of Medicine, Philadelphia, PA USA
Chief Clinical Officer, National Guardian Risk Retention Group
Chief Clinical Officer and Chair, Education and Risk Management Department, ECI Patient Safety Organization
Dr. Vukmir is board-certified in Emergency Medicine and Critical Care Medicine and is a Fellow of the American College of Emergency Physicians, American College of Chest Physicians, and the American College of Healthcare Executives.
He received medical and legal degrees from the University of Pittsburgh in Pennsylvania. He completed a residency program in Emergency Medicine at the University of Pittsburgh, a clinical fellowship in Critical Care at the University of Pittsburgh Medical Center, and a research fellowship in Resuscitation at the Safar Center for Resuscitation Research. He also received a degree in Law with a certificate in Health Law.
Current interests include management of medicolegal risk, operations, efficiency, management, and optimal customer service strategies. He is the author of forty-two, peer-reviewed medical journal articles, as well as seven books. He is the recipient of the University of Pittsburgh Affiliated Residency and Emergency Medicine Faculty Excellence Award for 1991 and 1992. Dr. Vukmir is the founder of the ACEP Critical Care Medicine Section, and has served as Councilor, Medicolegal Committee and Public Relations Committee. He currently serves as an ACEP spokesperson. He is a member of the National Disaster Medical System (NDMS), Multi-Specialty Enhancement Team (MSET), and serves as a Charge Physician for the Ironman World Championship.
Summary
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.
