Bioethics and healthcare risk management endeavor to make right and just recommendations within ethical frameworks and legal principles. Though neither the bioethicist nor the clinical risk manager are responsible for direct patient care, their goals of patient-centered care and harm mitigation are often aligned. As such, they are complementary supportive professions who advise providers on issues of patient-centered care and safety, especially in assisting with both clinical and operational decision-making. However, differences in methodologies and insufficient interprofessional collaboration can result in the perception that risk management decisions or recommendations are intended to strongly favor institutional process over compassion to stakeholders (i.e. colleagues and patients). There are significant negative impacts to this perception including a culture of defense instead of transparency, moral distress and burnout, decreased collegiality and accountability, reduced patient advocacy, paternalistic decision-making, and a decreased focus on patient safety. Ultimately, this impact increases the risk of patient harm and liability, as well as contributes to a culture that is permissive of substandard care that is not patient-centered. This one hour recording discusses these challenges and more.  Provider approved by the California Board of Registered Nursing, Provider number 12205 for 1 contact hour.