A university tertiary care hospital has a 5% complication rate for a surgical procedure compared to the national average of 2% for the year 2020-21. A fishbone analysis for the hospital is being analyzed. Classify the following factors as (A) patient factors, (B) task factors, (C) training and education factors, or (D) organizational factors based on the information below. 1 The hospital is a tertiary care teaching hospital, has residents and fellows. 2 The trainees can operate unsupervised in the supposedly non-key portions even in the earlier part of the training. 3 It caters to referred cases, which are typically more challenging than those operated in the community. 4 It does not have formal mandatory retraining on a new surgical device, especially if the staff has been privileged recently. 5 The hospital procured a new version of the surgical instrument last year. 6 30% of the operating staff underwent training on the new device. 7 As it was an upgraded version with a few additional bells and whistles, it was not mandated that the staff undergo retraining. 8 The chief operating surgeon was in the privileging committee, which decided against mandatory recertification