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The cost of disruptive and unprofessional behaviors in health care

机译：卫生保健中破坏性和非专业行为的代价

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Rationale and Objectives: In an era of decreased reimbursements and rising expenses, academic health care systems are seeking alternative sources of funding. We hypothesized that the costs associated with disruptive physician behavior represented a source of potential savings and hence a possible financial stream which could be redirected to support other academic activities. Materials and Methods: To test this hypothesis, we reviewed costs associated with disruptive behavior in clinical and education settings and estimated their savings in academic health care systems. Results: In a 400 bed hospital, the combined costs for disruptive physician behaviors (due to staff turnover, medication errors and procedural errors) exceed $1 million. Conclusions: Reducing disruptive physician behavior in academic health care systems is a potential funding stream with the added benefits of improved patient safety, reduced medical errors and improved medical student/resident education.
机译：理由和目标：在报销减少和费用增加的时代，学术医疗体系正在寻求其他资金来源。我们假设与破坏性医师行为相关的成本代表了潜在的节省来源，因此可能产生了资金流，可以将其重新用于支持其他学术活动。材料和方法：为了检验该假设，我们审查了与临床和教育环境中的破坏性行为相关的成本，并估计了其在学术医疗系统中的节省。结果：在一家拥有400张床位的医院中，破坏性医师行为（由于人员流失，用药错误和程序错误）造成的总成本超过100万美元。结论：减少学术卫生保健系统中破坏性医师行为是一种潜在的资金来源，它具有改善患者安全性，减少医疗失误以及改善医学生/住院医师教育的额外好处。

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