Alan H Rosenstein MD MBA

Disruptive Behavior Specialist

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Come here to find out the latest news about Disruptive Physician Behavior and Dr. Alan Rosenstein.

Enhancing physcian engagement and communication

April 17th, 2011

Several recent articles have appeared in the New England of Medicine, Health Affairs, the Archives of Internal Medicine, and the American College of Obstetrics and Gynecology highlighting the call for greater physician involvement, participation, integration, collaboration, and communication as we move through the demands imposed by health care reform and accountable health care delivery. One of the key factors involved in all of these initiatives is the need to promote efficient, effective care, improve quality, and assure that care is provided in a safe medical environment. All of these initiatives must be supported through the implementation of effective processes and protocols and the need to enhance communication and collaboration amongst all the members of the health care team. Behavioral modification through increased awareness, accountability, and education in communication and team collaboration are key to make this happen. Physicians need to be sensitive to this issue and its impact on patient care

Quality and Adverse events

December 5th, 2010

Two recent reports, one published by The Department of Health and Human Services reporting on the high frequency of adverse events in hospitalized Medicare patients (1/7 Medicare patients sufferes a serious medical mishap) and one published in the November 25, 2001 New England Journal of Medicine ("Temporal Trends in Rates of Patient Harm Resulting from Medical Care") suggesting no real progress in enhancing patient safety in hospital care, highlight the continuinmg uphill battle to provide high quality care in a safe medical environment. While new technologies, protocols, guidelines, and checklists provide the necessary structure, it all comes down to human behaviors, attitudes,and actions in complying with best practice standards of care. In order to move to the next level, we need to focus more on the behavioral pressures and barriers that get in the way. Your input is welcome.

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