These various reactions in the clinician are major drivers of underdoing and overdoing
behaviors. Those at the underdoing end of the spectrum are unduly fearful of doing harm and of
imposing their will. They see themselves as flexible, safe, cost-effective and empowering, and are
disposed towards errors of omission. In contrast, those at the overdoing extreme are anxious not
to be seen as neglectful or uncaring, but instead as beneficent. Their errors are likely to be ones of
commission, subjecting patients to unnecessary tests and procedures and increasing the risk of
associated adverse outcomes. Both underdoing and overdoing behaviors may lead to splitting of
health care team members, disrupting collaboration and cohesion.
These various reactions in the clinician are major drivers of underdoing and overdoing behaviors. Those at the underdoing end of the spectrum are unduly fearful of doing harm and of imposing their will. They see themselves as flexible, safe, cost-effective and empowering, and are disposed towards errors of omission. In contrast, those at the overdoing extreme are anxious not to be seen as neglectful or uncaring, but instead as beneficent. Their errors are likely to be ones of commission, subjecting patients to unnecessary tests and procedures and increasing the risk of associated adverse outcomes. Both underdoing and overdoing behaviors may lead to splitting of health care team members, disrupting collaboration and cohesion.
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