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psnet.ahrq.gov/issue/role-modeling-and-medical-error-disclosure-national-survey-trainees
August 26, 2015 - survey of trainees evaluated the effects of negative and positive role models on their attitudes and behaviors … More than one-third of trainees reported nontransparent behavior in response to a harmful medical error … Addressing the importance of role models in shaping clinicians' future behaviors will be important to … September 23, 2020
Pediatric trainees' speaking up about unprofessional behavior and … May 18, 2022
Association of coworker reports about unprofessional behavior by surgeons
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psnet.ahrq.gov/issue/patient-safety-and-staff-competence-managing-challenging-behavior-based-feedback-former
February 13, 2019 - Study
Patient safety and staff competence in managing challenging behavior based … Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric … management interventions (e.g., aggression, self-harm, inappropriate sexual behavior). … Interviewed patients cited various reasons for these challenging behaviors, including communication difficulties … Strategies for managing these behaviors are discussed, as well as core competencies for delivering care
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psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring-and-addressing
March 30, 2016 - complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors … Past studies have tried to predict poor professional behavior based on medical school performance, … The authors share their approach and model for addressing disruptive behavior, and their related interventions … March 30, 2016
Association of coworker reports about unprofessional behavior by surgeons … 10, 2019
Qualitative content analysis of coworkers' safety reports of unprofessional behavior
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psnet.ahrq.gov/periodic-issue/periodic-issue-331
March 31, 2022 - The aims of this study were to identify behaviors indicative of obtaining a best possible medication … Study
Evaluation of communication and safety behaviors during hospital-wide code … To evaluate baseline team communication behavior, clinicians at this institution participated in interprofessional … The authors suggest that assessing baseline communication behaviors can guide future interventions to … System and clinician behaviors affect the reliability of the diagnostic process.
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - Nevertheless, the scope of behaviors that fall under individual accountability is still controversial … Most endorse that clinicians who commit disruptive or unprofessional behaviors should be punished, … survey at an academic medical center found that 1 in 8 respondents reported witnessing a disruptive behavior … A prior PSNet perspective summarizes a stepwise approach for managing problem behaviors. … May 8, 2024
Bad behavior in healthcare: an insidious threat to patients, staff, and organizations
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psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
May 01, 2024 - This pre–post study sought to examine whether a task force could reduce the risk of unprofessional behaviors … Certain types of negative behaviors declined, but the authors suggest that additional strategies are … September 23, 2020
Surgical team behaviors and patient outcomes. … January 29, 2020
Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles
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psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
September 23, 2020 - Newspaper/Magazine Article
The differences between human error, at-risk behavior, … and reckless behavior are key to a just culture. … This article compares human error , at-risk behavior, and reckless behavior to suggest systems design … July 18, 2018
Disrespectful behavior in healthcare: has it improved? … April 20, 2022
Survey suggests disrespectful behaviors persist in healthcare: practitioners
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psnet.ahrq.gov/issue/patient-safety-event-reporting-expectation-does-it-influence-residents-attitudes-and
November 16, 2022 - Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors … Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors … Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
May 01, 2024 - framework for nudge projects, like The Nudge Unit at Penn Medicine, is to guide patient or provider behavior … The ability to change human behavior is the final stumbling block for many advances in patient care and … how to effectively guide an individual to choose a behavior or action is an ongoing question for patient … Decisions and behaviors are heavily influenced by the environment in which they occur. … Nudges in clinical care can focus on both clinician and patient behaviors.
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psnet.ahrq.gov/issue/resident-physicians-advice-seeking-and-error-making-social-networks-approach
February 08, 2006 - This study explored how residents’ networking with senior physicians influences advice-seeking behaviors … May 5, 2021
Leadership behaviors, attitudes and characteristics to support a culture … February 23, 2022
The impact of a 22-month multistep implementation program on speaking-up behavior … July 29, 2020
Professional behavior and value erosion: a qualitative study of physicians … December 9, 2020
The FIRST curriculum: cultivating speaking up behaviors in the Clinical
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psnet.ahrq.gov/issue/drs-bramhall-and-bawa-garba-and-rightful-domain-criminal-law
March 08, 2023 - Labeling medical negligence as a criminal act can affect transparency and disclosure behaviors across … risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors … “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors … April 26, 2006
Surgical team behaviors and patient outcomes.
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psnet.ahrq.gov/issue/practitioners-anticipate-punitive-action-licensing-bodies
June 01, 2022 - pharmacists, and physicians revealed that blame, shame, and fear of punishment still affect the reporting behaviors … October 20, 2021
Disrespectful behavior in healthcare: has it improved? … April 20, 2022
Survey suggests disrespectful behaviors persist in healthcare: practitioners … June 15, 2022
The differences between human error, at-risk behavior, and reckless behavior … June 18, 2014
Disrespectful behaviors—part 1 and part 2.
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psnet.ahrq.gov/issue/organizational-assessment-disruptive-clinician-behavior-findings-and-implications
August 27, 2014 - An Organizational Assessment of Disruptive Clinician Behavior. … , organizations are taking steps to identify staff who regularly engage in demeaning or threatening behaviors … An Organizational Assessment of Disruptive Clinician Behavior. … March 28, 2007
Triggers contributing to health care clinicians' disruptive behaviors. … September 16, 2020
Do clinician disruptive behaviors make an unsafe environment for patients
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psnet.ahrq.gov/issue/pursuing-professional-accountability-evidence-based-approach-addressing-residents-behavioral
January 18, 2012 - recommendations for early identification of problem residents as a strategy to prevent poor or disruptive behaviors … 12, 2012
Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors … April 11, 2007
Association of coworker reports about unprofessional behavior by surgeons … 28, 2009
Qualitative content analysis of coworkers' safety reports of unprofessional behavior … Using coworker observations to promote accountability for disrespectful and unsafe behaviors
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psnet.ahrq.gov/issue/why-studying-human-behavior-critical-component-patient-safety
January 15, 2020 - Commentary
Why studying human behavior is a critical component of patient safety. … Why Studying Human Behavior is a Critical Component of Patient Safety. … Discussing the potential for unexpected human behaviors during crises to result in failure, this commentary … Why Studying Human Behavior is a Critical Component of Patient Safety. … “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors
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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 10, 2024 - When we first wrote about these behaviors in 2008 in a Sentinel Event Alert , we called them "behaviors … Well, that certainly is bad behavior, but it's very rare. … Both of these key aspects of intimidating behavior are measured in this survey. … In addition to the problem of disrespectful behavior, another characteristic of high reliability culture … But there are also blameworthy acts, either patterns of errors or patterns of behavior, such as the serial
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psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
June 03, 2020 - Audiovisual Presentation
Unprofessional Behavior Leads to Complications. … Citation Text:
Unprofessional Behavior Leads to Complications. JN Learning. … Disruptive behavior is a recognized deterrent to safe communication, sharing of concerns and teamwork … This educational program highlights a study that measured the impact of unprofessional physician behavior … February 6, 2008
Implementation of an online reporting system to identify unprofessional behaviors
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psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice
January 18, 2023 - This psychological experiment sought to measure speaking-up behaviors of medical students and the general … public, using a masked experiment rather than asking participants to report their behaviors or comfort … also found differences in participants' reported willingness to speak up compared to their observed behavior … February 26, 2020
Stakeholders in safety: patient reports on unsafe clinical behaviors … April 24, 2019
Improving employee voice about transgressive or disruptive behavior: a
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psnet.ahrq.gov/issue/harmful-errors-how-will-your-facility-respond
November 02, 2022 - October 17, 2018
Disrespectful behaviors—part 1 and part 2. … June 30, 2021
Disrespectful behavior in healthcare: has it improved? … June 15, 2022
The differences between human error, at-risk behavior, and reckless behavior … December 17, 2014
Disruptive behaviors among physicians. … June 25, 2014
Disrespectful behaviors—part 1 and part 2.
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psnet.ahrq.gov/issue/battles-burnout-investigating-role-interphysician-conflict-physician-burnout
August 23, 2023 - Disruptive behaviors , including experiencing or witnessing coworker conflict, can lead to staff burnout … July 20, 2022
Physician behaviors associated with increased physician and nurse communication … “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors … October 13, 2021
Simulation-based education enhances patient safety behaviors during