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Disruptive behavior in the operating room: prevalence, consequences, prevention, and management
Alexander Villafranca1, Ian Fast, Eric Jacobsohn
1Department of Anesthesiology, Pain and Perioperative Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Current Opinion in Anaesthesiology
|April 19, 2018
Summary
Disruptive behavior in the operating room is common, affecting 98% of clinicians. Addressing its causes and implementing institutional policies are crucial for prevention and management to protect patients and staff.
Area of Science:
- Medicine
- Healthcare Management
- Surgical Sciences
Background:
- Disruptive workplace behavior poses significant risks to clinicians, healthcare institutions, and patient safety.
- The full extent and impact of disruptive behaviors within healthcare settings are often underestimated.
- A comprehensive understanding of disruptive behavior is essential for effective intervention.
Purpose of the Study:
- To review the definition, prevalence, consequences, prevention, and management strategies for disruptive behavior specifically within the operating room environment.
Main Methods:
- Literature review synthesizing existing research on disruptive behavior in the operating room.
- Analysis of reported prevalence, contributing factors, and impact on patient care and clinician well-being.
- Examination of response strategies, prevention methods, and institutional management approaches.
Main Results:
- Nearly all operating room clinicians (98%) report exposure to disruptive behavior, averaging 64 events annually.
- Causes are multifactorial, including intrapersonal, interpersonal, logistical, and contextual elements.
- Disruptive behavior negatively impacts patient care, clinician well-being, medical education, and hospital efficiency.
Conclusions:
- Disruptive intraoperative behavior is a widespread issue with detrimental effects on all stakeholders.
- Institutions must implement comprehensive strategies for prevention and consequence mitigation.
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