The nurse understands that which of the following organizational factors have been shown to contribute to errors and safety problems in healthcare? Select all that apply.

A) Inadequate financial resources
B) Inadequate training of personnel
C) Inadequate staffing in the organization
D) Staff reluctance to speak up about risks and errors

Organizational factors that have been shown to contribute to errors and to safety problems in healthcare include poor design,maintenance failures,unworkable procedures,shortfalls in training,less than adequate tools and equipment,and inadequate staffing.Disruptive behaviors,intimidation in the workplace,and a culture of disrespect among healthcare professionals have also been reported as significant barriers to patient safety.It is clear that such cultures need to be repaired,and many healthcare organizations are working to address disrespectful behavior,staff reluctance to speak up about risks and errors,and blatant disregard of expressed concerns.Inadequate financial resources are not cited as a reason for healthcare agency safety problems and errors.