Issues with members of the medical staff:
(1) denial of the problem(s)
(2) not wanting to deal with the problem (letting friendships stand in the way, conflict averse)
(3) partial or slanted knowledge of events (certain bits of critical information may not be known to medical staff members, or persons involved may give biased accounts)
(4) excessive competition between different practices
(5) discontent, causing disruptive behavior (spreading rumors)
Issues with the hospital administration:
(1) presence of financial guarantees or other arrangements between the hospital and the affected medical staff member
(2) ownership by the medical staff member with a free-standing ambulatory care or diagnostic center in competition with the hospital
(3) antagonistic to the medical staff
Issues during the execution of problem resolution:
(1) failure to adequately document problems
(2) failure to adhere to the written medical staff policies
(3) failure to control the process (and letting lawyers take over)
(4) failure to apply rules equally to all members of the medical staff (double standard)
(5) failure to focus on the more important issues (pursuing lesser problems that are less clear cut and more likely to become a "side show")
