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Article History

Received: 6 May 2020

Accepted: 14 July 2020

First Online: 22 July 2020

Ethics approval and consent to participate

: As this study did not involve research on patients, no Medical Ethical Committee approval was required in compliance with Dutch law. Neither the relevant Dutch Act on medical research involving human subjects (Medical Research Involving Human Subjects Act, WMO), seenor the University required ethical approval for the type of work conducted in this research. The management of the hospital granted access to interviewees, committee meetings, and documents, and consented to publication under the condition of anonymity of the hospital, the departments involved, and the individual interviewees. All participants of the focal hospital were asked to sign an informed consent form and were informed about the dissemination of the results. They allowed us to use the data they provided, including the use of quotes, under the condition of confidentiality. Those who attended meetings were informed about the research and consented to our presence during meetings. All interviewees participated on a voluntary basis and were granted anonymity. In feedback sessions to the project and to single departments, our reported data and interpretations were checked for accuracy by interviewees and project managers. We obtained permission from interviewees and from the organization’s management to use the data, including quotations from the interviews, for scientific publication purposes.

: Not applicable.

: The authors declare that they have no competing interests.