It's not as easy as you think...

I found a snippet in my Evernote file, sadly without anything citing a source. I have adapted it to fit my experience with Clinical Quality Improvement activities. I suspect it is broadly applicable…

  • It will take longer than expected.
  • Not everyone will understand.
  • At least one key player is not engaged.
  • No matter how diligent the process, the team will miss something important.
  • If everyone agrees, someone is not paying attention, or is being dishonest.
  • The risk manager, lawyers, and upper level management really want to say no.
  • When you are done, people will complain and you'll have to remind them of the mission.
  • The result will not be what you planned.
  • To the extent that you succeed, the important benefits will result from solving unforeseen complications.


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