Barriers to physician engagement
| Barrier | Frequency reporting barrier, N (%) |
| Lack of time | 19 (45) |
| Institutional culture | 13 (31) |
| Physician desire for autonomy | 7 (17) |
| Lack of medical-school training | 7 (17) |
| Lack of trust in data | 6 (15) |
| Lack of information-systems support | 5 (12) |
| Lack of quality-improvement skills | 5 (12) |