Washington Disruptive Behavior in Health Care (SHARP) is an initiative developed by the Washington State Department of Health to reduce disruptive behavior in healthcare settings. This initiative works to create an environment that is safe and respectful for all healthcare personnel, patients, and families. It focuses on developing policies and procedures to prevent, identify, and respond appropriately to disruptive behavior. It also focuses on educating healthcare personnel on how to manage disruptive behavior and providing resources to support them. There are four types of disruptive behavior in health care that are addressed by SHARP: verbal abuse, physical threats or violence, neglect of patient safety, and non-compliance with healthcare policies. SHARP outlines the best practices for preventing, responding to, and managing these types of disruptive behavior, as well as providing resources for healthcare personnel to use. SHARP also provides resources for healthcare personnel to use to identify and address underlying causes of disruptive behavior, such as stress, burnout, and substance abuse.