✋Be temporarily working in healthcare settings for which no appropriate training has been provided.
  • New recruitment specific for the crisis or transfers to more complex healthcare facilities and higher biological risk subjected to healthcare needs.
✋ Receive instructions, sometimes contradictory, on the control of risks and procedures (with no clear assignment of tasks).
  • Inconsistencies in the chain of command and individual proposals regarding the use of personal protective equipment (use of facemasks and personal protective equipment (PPE)). 
  • Shortage of material for offering the appropriate care to all patients and reduce the risk of infection.
✋ Reduction in the number of human resources, due to leave of professionals under risk exposures.
  • The working time is extended, frequency of shifts increased, and the periods of physical and mental rest reduced. 
  • Tasks for which specific training has not been received are assumed or are carried out after express training. This may cause insecurity.
✋Dissolution of stable work teams
  • Incorporation of new professionals, which changes the dynamics of the work group.
  • Overloading of more experienced professionals.
✋ Patients with other pathologies cannot receive the care they had been receiving.
  • Over-the-phone care is provided, which increases the risk of adverse events in many cases due to the omission of actions and low probability of detecting it.
✋ A different perspective from residents
  • They are not under the wing of the consultants but placed in a different situation regarding clinical attitude.
✋ Pre-crisis conflicts between team members
  • Previous conflicts may surface now because of the task distribution in extreme situations.