1. Given the situation, what are the apparent barriers to using incident reporting systems for QI?
One of the biggest challenges or barriers faced when using incident reporting systems for QI purposes is the resistance among physicians and nurses to the changes being implemented, because they can perceive the new protocols as robotic and not personal, customized medicine, and argue that adhering too strictly to quality guidelines will take away their ability to use their judgment and experience. Nurses can also complain about additional paperwork and bureaucracy related to new protocols.
2. How can these barriers be overcome?
These barriers could be overcome by addressing their concerns in several ways,