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Goal or not, why you should address disruptive clinician behavior in your organization 
After reading this article, you will be able to
1. list examples of disruptive behavior
2. recall the Joint Commission's proposed disruptive behavior goal
3. describe why the issue is gaining more attention
4. list at least two suggestions for addressing the issue
When the JCAHO opened its field review last year for the proposed 2007 National Patient Safety Goals, one topic attracted a deluge of passionate, and sometimes horrifying, stories, anecdotes, and pleas for help: disruptive clinician behavior.
Although the proposal did not make the final list of 2007 goals, the Joint Commission has said it will again be included on this year's field review for its list of possible 2008 goals.
Note: The field review is planned to open at the end of the year but had not opened at presstime. Last year's proposed goal simply read: Organizations have guidelines for acceptable behaviors to identify, report, and manage behaviors that cause disruption to patient safety, and included eight implementation expectations.
One source close to the JCAHO says the sheer volume of comments that the accreditor received in last year's field review was one reason why the issue didn't make the 2007 list. "They are reading the comments, the literature," the source said, "and there is a lot"-more than the JCAHO might have realized when it did the first field review, the source suggests.
One person for whom this topic is not new is Grena Porto, RN, MS, ARM, CPHRM, a healthcare consultant and a member of the JCAHO's sentinel events advisory group (SEAG), the panel that decides which topics are put into field review and which become goals.
This is an excerpt from a member only article. To read the article in its entirety, please login, subscribe, or try out BOJExtra! for 30 days.
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