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Improving Incident Reporting in a Hospital-Based Radiation Oncology Department: The Impact of a Customized Crew Resource Training and Event Reporting Intervention.
Cureus
April 2021
Curriculum and Accreditation, Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, USA.
Background Radiation oncology (RO) is a high-risk environment with an increased potential for error due to the complex automated and manual interactions between heterogeneous teams and advanced technologies. Errors involving procedural deviations-- can adversely impact patient morbidity and mortality. Under-reporting of errors is common in healthcare for reasons such as fear of retribution, liability, embarrassment, etc.
View Article and Find Full Text PDFThe disruptive orthopaedic surgeon: implications for patient safety and malpractice liability.
J Bone Joint Surg Am
November 2011
Division of Orthopaedics, Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL 62702, USA.
Disruptive physician behavior imperils patient safety, erodes the morale of other health care providers, and dramatically increases the risk of malpractice litigation. Increasing patient volume, decreasing physician reimbursement, malpractice litigation, elevated stress, and growing job dissatisfaction have been implicated in disruptive behavior, which has emerged as one of the major challenges in health care. Because the aging patient population relies increasingly on orthopaedic services to maintain quality of life, improving professionalism and eradicating disruptive behavior are urgent concerns in orthopaedic surgery.
View Article and Find Full Text PDFMost physicians and patients agree that errors should be disclosed to patients and their families. A major barrier to disclosure is fear of litigation on the part of the physician. Some states, now including Missouri, have adopted so-called "apology laws", which are designed to facilitate disclosure by making certain statements of apology inadmissible as evidence in a court case.
View Article and Find Full Text PDFThe culture of silence: disruptive and impaired physicians.
J Med Pract Manage
January 2011
Northcentral University, Prescott Valley, AZ, USA.
An experienced hospital CEO examines the emergence of disruptive and impaired physicians as an overwhelming problem for hospital medical staff nurses, and administrators. The poor behavior ranges from aggressive acts of yelling, swearing, or pushing to passive ones of being chronically late or providing inadequate chart notes. The Joint Commission on the Accreditation of Healthcare Organizations and the American Medical Association have standards and guidelines to minimize unprofessional behavior that negatively impacts hospital patient care.
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