Leaders with their head in the clouds that think they are amazing and the most talented people on this earth. Arrogant attitude that people are an expendable commodity no matter what value or service they bring. Data that is publicly reported is sketchy, the numbers are made to look good by removing certain data points or criteria selection. A lot of self-reporting by nursing units is dangerous, for example hand hygiene. A simple but essential measure, massaged by their hospitals to look better than they are. Every unit is out to look better than their neighbors and not put patient safety first. Policies and procedures are frequently overlooked or ignored until something goes wrong, then they come looking for scapegoats to fire. There are so many incompetent leaders promoted into positions that they are not experienced in, trained for, or have the body of knowledge for, it makes a competency checklist fit for toilet paper. Oh, and there's probably a VP of Toilet Paper in there somewhere too, along with one for paperclips and printer cartridges. Corporate run the show even though many have forgotten what it looks like to work in a facility or be on the floor. Every day there's a new initiative ore report that you have to produce as the system sucks and can't run an accurate one for you. Grew too quickly without getting the basics right. Too many people in charge that should still be playing with Lego.
