In recent years, it has become clear that the nature of the relationship between healthcare providers influences patient care. Quality of care and patient safety are both dependent on communication, teamwork, and collaboration. Unfortunately, intimidating and disruptive behavior threatens the performance and productivity of the healthcare team and this behavior is not rare. A 2011 survey conducted through the American College of Physician Executives found that 70% of physicians witness/experience disruptive behavior each month and more than 10% say this behavior occurs on a daily basis. These disruptive and intimidating behaviors can undermine a culture of safety and impede the performance of the healthcare team. This continuing education activity will discuss and define behavior that undermines a culture of safety and address situations where these types of events are most likely to occur. The consequences of intimidating and disruptive behaviors will be discussed so that learners have a clear understanding of how this behavior undermines a culture of safety and potentially results in a decrease in care quality. Best practice strategies for eliminating behaviors that undermine a culture of safety will be discussed.