The work of this group modeled the level of collaboration and cooperation needed at all levels of the health system to create psychologically safe workplaces where both healthcare providers and the patients they serve feel respected and engaged in contributing to a safe and high quality care experience. [...] OVERVIEW The framework describes the extent of disruptive behaviour in the healthcare workplace, outlines expectations for behaviour, and explains the implications of disruptive behaviour for individuals, the organization, and patient care. [...] Extent of Disruptive Behaviour in Healthcare The extent of disruptive behaviour in the healthcare workplace is difficult to quantify. [...] The definition of disruptive behaviour and the survey instrument used varied between researchers.19, 20 Most of the research in healthcare has focused on the behaviour of doctors although doctors can also be the target of disrespectful behaviour and intimidation tactics.21 Understanding bullying and incivility among nurse colleagues is a strong theme in the nursing literature.3, 9, 10, 22-24 Manag [...] When organizations ignore disruptive behaviour, healthcare workers lose confidence in their managers and organization, resulting in decreased commitment to the organization, disengagement, and loss of motivation for creativity and innovation.9 DISRUPTIVE BEHAVIOUR IS THE RESULT OF A COMPLEX INTERPLAY OF PERSONAL AND Contributing Factors WORK-RELATED FACTORS.