Fortunately, senior management of hospital through
multiple meetings and discussion about safety data of
hospital, had a good deal with system but there was
some resistance in middle manager level that presented
itself with lack of support of safety programs, resource
limitation and punitive directions. Emphasizing on confidentiality
and prioritizing of system failures, usage of
national accreditation rules for safety requirements and
reliance to leadership role of respective university were
helpful for elimination of resistances.