Undertaking quality improvement (QI) work can present several challenges, as outlined in the "LEAN AND SIX SIGMA.pdf" content. Here are some of the key challenges: 1. **Uncertainty and Lack of Support**: There can be a knowledge and skills gap between juniors who are keen to undertake QI projects and senior clinicians who may not have the requisite QI knowledge to offer meaningful support. 2. **Poor Choice of Quality Indicators**: The success of QI efforts can be limited by poor metrics or poo