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Managing Disruptive Behavior
Joint Commission Perspectives on Patient Safety, 01/05/09

At its most fundamental level, disruptive behavior is any behavior that interferes with communication, team performance, or safe patient care. It can include but is not limited to verbal abuse, harassment, condescending or berating behavior, lack of respect, or physical abuse. These behaviors can create an unhealthy or even hostile work environment-one that is readily recognized by patients and their families. An organization's approach to disruptive behavior must be endorsed by senior leadership and the board and consistently be applied to all staff and licensed independent practitioners. The program must also have a strong champion-ideally a clinician-who communicates the message that disruptive behavior is absolutely not tolerated.

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