Here’s a little secret most non-hospital people do not know: hospitals are dysfunctional. From poor communication across disciplines to a “bullying culture,” hospitals are notorious for dysfunction. For instance, a nurse who notices a patient in distress may hesitate before pointing it out to an overbearing physician. It’s been reported that many healthcare professionals bite their tongue if they notice a surgical mistake or a wrong drug, for fear of irritating certain angry physicians. In Great Britain, a study was done in 2013 in which 25% of physicians and 33% of nurses said that bullying in the hospital led them to do things (or not do things) that were bad for their patients.