Within the last couple of decades, there was a more extreme focus on medical staff activities linked to tumultuous conduct of doctors. Before, many physicians didn't have any policies, guidelines or procedures to aid them.
To be able to prevent situations, as an instance, in which a hospital may initiate disciplinary actions against a doctor with whom the clinic has had political or financial disagreements only on the premise that the doctor raised his voice in a nurse through a tense moment, a hospital's MEC should use measured and careful language in embracing a policy to deal with the the disruptive physician behavior.
From the pronouncements, it's apparent that the Joint Commission considers that a state policy to deal with disruptive behavior by doctors is necessary; differently, the hospital is implicitly promoting "disruptive behavior".
On the other hand, the Joint Commission has neglected to define or define what might constitute "improper" or "disruptive behaviors".
A measured approach could provide more safety to the doctor and educate the hospital on how to continue to attain the above-noted target of the policy. In our view, any policy must provide a definition of the kinds of behaviors for which the coverage is intended to tackle.
For instance: "Disruptive behavior" with a medical team member is defined as behavior that negatively affects the hospital's ability to accomplish its aims and features, but isn't necessarily Limited to the following activities toward coworkers, hospital employees, visitors or patients:
*Hostile, angry confrontational or aggressive or voice or body language;
*Attacks (physical or verbal) which go beyond the boundaries of honest professional behavior;
*Inappropriate expressions of anger like the destruction of land or throwing things;
*Derogatory remarks that go past differences of opinion which are created to individuals or patients' households' about health professionals;
*Composing of malicious, random, or improper comments/notes from the medical record;
*Sexual discrimination and harassment.