1. Not enough delegation, doing it oneself, involved in routine
2. Telephone interruptions
3. Attempting too much, unrealistic time estimates
4. Drop-in visitors
5. Crisis management, shifting priorities, jumping from task to task
6. Lack of objectives, priorities, deadlines, daily plan
7. Cluttered desk, personal disorganization
8. Inability to say NO (desire to help others)
9. Meetings
10. Procrastination, indecision
11. Lack of self-discipline
12. Inadequate, inaccurate, delayed information
13. Confused responsibility, authority
14. Leaving tasks unfinished
15. Poor communication
16. Understaffed/undertrained/inadequate staff
17. Socializing
18. No follow-up, no progress reports
19. Not managing conflict
20. Outside activities and reactions to same
21. Frustration over cancellation of appointments
22. Failure to listen
23. Snap decisions