The authors of the viewpoint noted that in the over 150 hospital worker interviews conducted, interviewees often described being overburdened before quality improvement initiatives. Many also commented quality improvement is necessarily a slow process.
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To overcome initiative fatigue, the authors suggest focusing on smaller improvements in the context of workflow management. Embedding quality initiatives in workflow processes helps reduce initiative fatigue as well as helps the activity take on a team focus and helps distribute the duties of projects more efficiently.
“Small successes develop trust and increase motivation for quality improvement work. Small wins, early on, develop trust and create an environment that can embolden more radical change,” the authors wrote of focusing on seemingly minor improvements.
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