Table 2 Q13: Are there any other factors that hinder your openness in discussion of your complications during an M&M meeting?

“Blame culture and biasedness.”

“Changeover of junior staff.”

“Cross site work.”

“Dominant personalities.”

“I am very open and transparent clinician.”

“I fear people think I’m a useless surgeon - I have high complications because I look after all the emergency patients.”

“If there is an ongoing investigation about it. ”

“It’s not an open and honest meeting.”

“Non-productive discussions. Criticism or showing off .... counterproductive meetings.”

“Not really but am a senior consultant. Much more difficult for non-consultants to participate.”

“Occasionally, some factors are more appropriate to discuss with the head of department/other consultants due to their sensitivity.”

“Personal vendettas.”

“Protecting other clinicians involved.”

“Some individuals unfortunately still use these meetings to settle personal griefs and settle scores and get away with it so often. There still seems to be a rule for some and a different one for certain others.”

“Sometimes the meeting is too soon after the event to have all the relevant information available.”

“The judgemental attitude. The fact that some people put up all their complications, others you know have happened but they never get discussed. And the lack of defined outcome.”

“There are different rules for different people.”

“Time. Our meetings are not frequent enough so we often don’t have as much time as we would like.”

“Yes, the fact that a member of management attends. It should only be doctors.”