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Managing disruptive behavior by patients and physicians: A responsibility of the dialysis facility medical director

from Clinical Journal of the American Society of Nephrology

The Centers for Medicare & Medicaid Services' Conditions for Coverage make the medical director of an ESRD facility responsible for all aspects of care, including high-quality health care delivery. Because of the high-pressure environment of the dialysis facility, conflicts are common. Conflict frequently occurs when aberrant behaviors disrupt the dialysis facility. Patients, family members, friends, and, less commonly appreciated, nephrology clinicians may manifest disruptive behavior. Disruptive behavior in the dialysis facility impairs the ability to deliver high-quality care. more

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