Chaotic implementations leads to a glut of changes, some of which are simply abandoned in favor of the next silver bullet.
Serious issues with lack of skilled and disciplined project managers. There is a top down effort to align the management of projects and portfolios with the larger business initiatives, but the core problem is with the line project managers -- they need training in IT project management.
Multiplicity of technologies -- tools and platforms -- leads to generalizations that are not in the best interest of building standards throughout the organization.