Funding for this research was provided by:
Ministry of Education and Research in Norway
Received: 4 January 2019
Accepted: 9 March 2020
First Online: 23 March 2020
Ethics approval and consent to participate
: The research and the procedure for obtaining oral consent to participate were conducted with the ethical approval of the Norwegian Social Science Data Services (December 16, 2011, Ref. 27543). A clearance for observation and interviews with the auditors was obtained from the certification body prior to data collection. The three auditors received an individual written invitation to participate, and all three responded per e-mail with their consent to participate. Written and oral information were given prior to the commencement of observation and interview recording, and all three auditors provided oral consent.A clearance for observations during the review process in the hospitals was obtained from the hospital prior to data collection. Written information about the observation was sent to the hospital and given to the hospital staff taking part during the review process. Before every new review meeting, oral information about the observation and data collection was given. All the persons from the hospitals that took part in the certification meetings provided oral consent. All written and oral information to auditors from the certification body and meeting participants from the hospitals explained that observations and interviews were part of a research project, that the results would be used anonymously for analysis and publication, and that participation was voluntary and could be terminated at any time.
: Not applicable.
: Author Siri Wiig is associate editor for BMC Health Services Research.The authors declare that they have no competing interests.