The objective of this policy is to promote optimal patient care by promoting a safe, cooperative, and professional healthcare environment by preventing or eliminating, to the extent possible, behavior that disrupts the efficient and effective operation of the hospital.

A practitioner practicing outside the scope of privileges indicates an immediate threat to patient health and safety as determined by the Centers for Medicare & Medicaid Services (CMS) and other organizations. Therefore, it is important for everyone in your organization to know who has what...

What is the best way to deal with disruptive behavior? Conduct the initial intervention when medical staff leadership has decided to proceed beyond just providing routine feedback. If you feel that the physician will refute the accusations, come armed with data. If the physician...

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