Perioperative quality improvement (QI) teams face challenges in their work to improve
surgical outcomes. One challenge is maintaining engagement in a project until a meaningful
trend in targeted outcomes is evident. Our study aimed to identify management strategies
that engaged staff in a QI project with a substantial time lag between project implementation
and feedback of data. In an American College of Surgeons collaborative, we interviewed
clinical leaders from six self-selected community and teaching hospitals and observed four …