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Balancing Systems and Individual Accountability in a Safety Culture

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Failure to Address Disruptive BehaviorLeads to:• Team members may adopt disruptive person’s negativemood/anger (Dimberg & Ohman, 1996)• Lessened trust among team members can lead to lessenedtask performance (always monitor<strong>in</strong>g disruptive person)...affects quality <strong>and</strong> patient safety (Lewicki & Bunker, 1995;Wageman, 2000)• Withdrawal (Schroeder et al, 2003; Pearson & Porath, 2005)Felps W et al. How, when, <strong>and</strong> why bad apples spoil the barrel: Negative group members <strong>and</strong>dysfunctional groups. Research <strong>and</strong> Organizational Behavior. 2006;27:175–222.50NPSF Professional Learn<strong>in</strong>g Series

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