In a 2015 study published in the journal Pediatrics, 24 teams of doctors and nurses specializing in neonatal intensive care at four hospitals in Israel participated in a simulation that involved a preterm infant (a mannequin) suffering from a medical complication. The teams were randomly assigned to receive rude treatment—an “expert” from the U.S. made disparaging remarks, suggesting that they “wouldn’t last a week” in his department—or neutral treatment.
Performance in the simulation was scored by judges unaware of these conditions. “The results were scary,” says Dr. Erez. “The teams exposed to rudeness gave the wrong diagnosis, didn’t resuscitate or ventilate appropriately, didn’t communicate well, gave the wrong medications and made other serious mistakes.”
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