Top administrators in a university hospital have
approved a project to improve the efficiency of the
pharmaceutical services department by the end of
the fiscal year to satisfy new state regulations for the
coming year. However, they are concerned about four
potential threats: (1) The cost to implement the changes
may be excessive, (2) The pharmacists may resist the
changes, (3) The project may run much longer than
expected and not be ready for the coming fiscal year,
(4) The changes might reduce the quality of drug care
in the hospital. The likelihood and negative impact of
each threat have been solicited from the managers by a
three-round Delphi process and are as follows, based
on a seven-point scale where seven is the most likely
and most negative impact