There is a "toxic" culture of bullying and blame in the Isle of Man's emergency department at Noble's Hospital, an inspection has found.
The Care Quality Commission's report said it was a "significant concern" along with "ineffective" staff training and medicine storage systems.
It found a "significant disconnect" between nursing and medical staff had the potential to "cause or contribute to patient harm".
During inspectors' four-day visit in June, some staff said the attitude and behaviour of senior medics was "feral".
Manx Care's director of nursing Paul Moore said the understaffed department had been "really struggling" at times.
He warned efforts to change governance and culture would take time.
Mr Moore said on average the emergency department had about 50% of the required staff over a given month, and recruitment was the "number one priority" to help make lasting changes.
"The bottom line is I have to put staff in front of patients before other considerations, especially when we're short", he added.
Source: BBC News, 8 September 2022
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