A study, published in The Joint Commission Journal on Quality and Patient Safety, evaluated the feasibility and fidelity of a reporting system called Co-Worker Observation System (CORS) to address disrespectful behavior among staff nurses. CORS has been previously used among physicians and advanced practice providers, according to the Jan. 3 release from The Joint Commission.
CORS was implemented at three academic medical centers — Keck Medicine of the University of Southern California in Los Angeles, University of Iowa Health Care in Iowa City and Vanderbilt University Medical Center in Nashville, Tenn. — and received reports from Sept. 1 2019, to Aug. 21, 2021. A total of 590 reports of unprofessional behavior were submitted across the three organizations. Each report was screened through natural language processing software and referred to a trained peer messenger to share the observations with the nurse.
Most reports included more than one instance of unprofessional behavior, totaling 1,387 instances:
- Clear and respectful communication — 48.8 percent
- Responsibility — 33.3 percent
- Appropriate medical care — 6.8 percent
- Professional integrity — 5.9 percent
- Report of concern/possibly egregious — 5.2 percent
Researchers said the study shows CORS can be implemented with staff nurses when there is adequate nursing infrastructure.
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