Clinicians sometimes work 12 hours shifts which leads to being tired which leads to fatigue which leads to errors being made during the work shift. Another environmental stress is personal stress, it is hard not to bring a person’s home life into their work day, and this will serve as a distraction during the day, which can lead to medication errors. Hunger is a big stress for clinicians, sometimes they are so busy that they do not take the time needed to eat which leaves them with less energy to perform normal tasks which can lead to medication errors. A big environmental stress is staff shortages which puts an extra burden on the current staff. Current staff has to work to make up for the missing staff therefore clinicians have to take on more patients than they would have if the facility was staffed