The physician at risk: disruptive behaviour, burnout, addiction, and suicide

Grocott, Hilary P.; Bryson, Gregory L.

doi:10.1007/s12630-016-0782-z

Cited by 13 publications

(6 citation statements)

References 9 publications

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“…In caring for their patients, anaesthesiologists may overlook their own health and well being. Obviously, to care for their patients expertly and confidently, they must first ensure their own health [88]. The concept of physician well being is multidimensional, and includes factors related to each physician as an individual as well as to the working environment.…”

Section: Discussionmentioning

confidence: 99%

Human factors affecting intraoperative patient safety

Hert

2021

Current Opinion in Anaesthesiology

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Purpose of reviewThis review addresses the importance of some of the human factors for intraoperative patient safety with particular focus on the active failures. These are the mishaps or sentinel events related to decisons taken and actions performed by the individual at the delivery end of a system. Such sentinel events may greatly affect intraoperative patient safety. Recent findingsIntimidating, aggressive and disruptive communication is a cause of adverse staff interaction, which may then represent an important patient safety threat. Also, anaesthesiologist's physical and mental state and limitations may interfere with patient safety.

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Section: Discussionmentioning

confidence: 99%

Human factors affecting intraoperative patient safety

Hert

2021

Current Opinion in Anaesthesiology

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“…Not only will this shed insight into the development of their behavioral issues, but it can also provide awareness into the work environment. [3,4] The workplace culture When it comes to disruptive physicians, it is essential to take an in depth look at the workplace culture. Are there factors that produce to more stress, burnout, or toxicity?…”

Section: Why the Disruptive Physician Exists?mentioning

confidence: 99%

The disruptive physician and impact on the culture of safety

Wright

2021

Current Opinion in Anaesthesiology

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Purpose of reviewThe disruptive physician is a growing problem in medicine. All too often, physician behavior negatively impacts the delivery of quality patient care. The hostile environment that certain behaviors create makes it difficult for team members advocate for their patients. It is imperative that physician practices develop and an understanding of how to identify the disruptive physician to maintain patient safety. Recent findingsDisruptive physicians can damage team morale by creating a psychologically unsafe working environment. Healthcare organizations must be committed to ensuring that all team members can function effectively in their work environments. The leaders of healthcare organizations must be acutely aware of what constitutes disruptive behavior and act proactively to eliminate such behaviors. Disruptive physicians should be made acutely aware that their behavior is deemed unacceptable and efforts at correcting such behavior are imperative.

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“…Indeed, according to our knowledge there is no study that evaluates DBs in Zimbabwe and there is no written policy to monitor and prevent DBs in the Zimbabwean radiography workforce. While research findings in other healthcare professions and high resource settings have documented workplace behaviours that undermine patient safety 4 , 28 , 29 , this study focuses on DBs involving radiographers in low resource settings. Understanding the viewpoints of radiographers in these settings is important, as this professional group uses hazardous radiation in the execution of their duties with inadequate resources, making patient safety of utmost concern.…”

Section: Introductionmentioning

confidence: 99%

Disruptive behaviours involving radiographers that impede a safe work environment. Survey at central hospitals in Harare Metropolitan Province, Zimbabwe

Chinene¹,

Nkosi²,

Sibiya³

2022

Afr H. Sci.

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Background: Understanding disruptive behaviours from the perspective of radiographers is important, as this professional group uses hazardous radiation in the execution of their duties, making patient safety of utmost concern.Objective: Determine the disruptive behaviours involving radiographers at central hospitals in Harare Metropolitan Province, Zimbabwe.Methods: A descriptive cross-sectional quantitative study was carried out at central hospitals in Harare Metropolitan Province, Zimbabwe, where 100 radiographers were randomly selected.Results: Overall, 83% of radiographers had been exposed to an incident of DB in the preceding 12 months. Reported types of disruptive behaviour included: Verbal abuse (81%), sexual abuse (21%) and physical abuse (4%). Of the 21 radiographers that suffered sexual abuse, the majority 71 % (n=15) were female while 29% (n=6) were males. Prevalence odds ratio revealed that female radiographers were 1.8 times more likely than their male counterparts to be victims of the workplace sexual abuse (95% C.I.: 0 – 3.04). A significant 69% were abused by patients and their families/escorts, p=.001.Conclusion: More than 8 out of 10 radiographers in this study were exposed to disruptive behaviours, mostly from the patients and patient’s family or escorts. A framework to increases awareness and address these behaviours is recommended.Keywords: Disruptive behaviour; radiographers; Zimbabwe.

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The physician at risk: disruptive behaviour, burnout, addiction, and suicide

Cited by 13 publications

References 9 publications

Human factors affecting intraoperative patient safety

Human factors affecting intraoperative patient safety

The disruptive physician and impact on the culture of safety

Disruptive behaviours involving radiographers that impede a safe work environment. Survey at central hospitals in Harare Metropolitan Province, Zimbabwe

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