Executives at a medical healthcare organization decided to implement a new incident reporting system. This system was supposed to be used across the entire healthcare organization to “access patient information, document adverse advents, and report…to senior management, risk management, and the QI department” (Burns, L.R., Bradley, E.H., & Weiner, B.J., 2011). Although everyone in the organization had been trained with the new system, they believed it to be a hassle and did not implement the changes. The new system was supposed to provide all the information for the QI department in one easy management system, but they choose to continue obtaining data the “old fashion way”. The new system would have immediately supply information needed for
