Barriers

1. Performance pressure

1.1. Work Environment demands

1.1.1. Staffing Issues

2. Complexity of the Healthcare System

3. Beliefs

3.1. Cultures

3.1.1. Habits

3.1.1.1. Attitudes

3.1.1.1.1. New node

4. Culture of blame

5. Fear of Change

6. Inadequate Continuing education, Inservices.

7. Reluctance to report errors due to fear of:

7.1. Job Loss

7.1.1. Reprimands

7.1.1.1. Lawsuits