The cost of disruptive and unprofessional behaviors in health care

Acad Radiol. 2013 Sep;20(9):1074-6. doi: 10.1016/j.acra.2013.05.009.


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.

Keywords: Disruptive physician; academic radiology; impaired physician.

MeSH terms

  • Academic Medical Centers / economics*
  • Academic Medical Centers / statistics & numerical data
  • Employment / economics
  • Employment / statistics & numerical data
  • Health Care Costs / statistics & numerical data*
  • Interprofessional Relations
  • Physician Impairment / economics*
  • Physician Impairment / statistics & numerical data
  • Physicians / economics*
  • Physicians / statistics & numerical data
  • Professional Misconduct / statistics & numerical data*
  • Radiology / economics*
  • Radiology / statistics & numerical data
  • United States