Disruptive Healthcare Provider Behavior

Rade B. Vukmir, MD, JD, FCCP, FACEP, FACHEPresident, Critical Care Medicine AssociatesProfessor (Adjunct) of Emergency Medicine, Temple University School of Medicine, Philadelphia, PA   USAChief Clinical Officer, National Guardian Risk Retention GroupChief Clinical Officer and Chair, Education and Risk Management Department, ECI Patient Safety Organization Dr. Vukmir is board-certified in Emergency Medicine and Critical Care Medicine and is a Fellow of the American College of Emergency Physicians, American College of Chest Physicians, and the American College of Healthcare Executives.He received medical and legal degrees from the University of Pittsburgh in Pennsylvania. He completed a residency program in Emergency Medicine at the University of Pittsburgh, a clinical fellowship in Critical Care at the University of Pittsburgh Medical Center, and a research fellowship in Resuscitation at the Safar Center for Resuscitation Research. He also received a degree in Law with a certificate in Health Law.Current interests include management of medicolegal risk, operations, efficiency, management, and optimal customer service strategies. He is the author of forty-two, peer-reviewed medical journal articles, as well as seven books. He is the recipient of the University of Pittsburgh Affiliated Residency and Emergency Medicine Faculty Excellence Award for 1991 and 1992.  Dr. Vukmir is the founder of the ACEP Critical Care Medicine Section, and has served as Councilor, Medicolegal Committee and Public Relations Committee. He currently serves as an ACEP spokesperson. He is a member of the National Disaster Medical System (NDMS), Multi-Specialty Enhancement Team (MSET), and serves as a Charge Physician for the Ironman World Championship.

Introduction.- Scope of the Problem.- Organizational Approach.- Maturation of the Analysis.- Profile of the Behavior.- Location at Risk.- Specialty at Risk.- Physicians in Training.- Etiology.- Nursing Interface.- Patient Safety.- Policy and Guidelines.- Economic Issues.- Legal Interface.- Regulatory Interventions.- Strategies for Improvement.- Educational Process.- Management's Responsibility.- Conclusion.- Appendix: Situational Analysis and Approach: Case Scenarios.