Andrea B Bontrager Yoder, Janice L Liebhart, Daniel J McCarty, Amy Meinen, Dale Schoeller, Camilla Vargas, Tara LaRowe
Farm to elementary school programming increases access to fruits and vegetables and increases their consumption among those with low intake
Journal of nutrition education and behavior
transparency occurrence adverse events decadeslong governmental priority defining external feedback healthcare providers key measure improve services reduce number adverse events study aimed explore surgeons experiences assessment external bodies focus impact transparency reporting learning serious adverse events external bodies defined external inspection police internal investigation systems patient injury compensation media based qualitative study design 15 surgeons recruited four norwegian university hospitals examined individual semistructured interviews data analysed deductive content analysis four overarching themes identified related influence external inspection police investigation patient injury compensation media publicity represented three categories 1 sense criminalisation reinforcement guilt treated suspects 2 lack knowledge competence among external bodies causing reinforcing sense clashing cultures medical outside world minor influence quality improvement 3 involving external bodies could stimulate awareness internal issues quality safety depending relevant competence knowledge communication skills study found external assessment might generate criminalisation scapegoating reinforcing sense medical perspectives one hand external regulatory perspectives might hinder efforts improve quality safety external bodies could however inspire useful adjustment internal routines procedures study implies variety interconnections external bodies may expose surgeons challenging pressure studies required investigate challenges quality safety surgery