The link between bullying and undermining behaviour and patient safety is now clear. Evidence that this kind of behaviour has a negative impact on the workings of a team is getting bigger year on year. The extent of bullying and undermining throughout healthcare is well documented, and surgery in particular is often reported as being a specialty where it is particularly prevalent.

It has been estimated that this issue costs organisations in the UK £13.75billion annually, and healthcare professionals have attributed disruptive behaviour in the perioperative area alone to 67% of adverse events, 71% of medical errors, and 27% of perioperative deaths.

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