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. Author manuscript; available in PMC: 2022 Aug 1.
Published in final edited form as: J Patient Saf. 2021 Aug 1;17(5):363–374. doi: 10.1097/PTS.0000000000000331
Barrier Very much a barrier Somewhat of a barrier Neutral Not much of a barrier Not at all a barrier
20. Fear of litigation 5 4 3 2 1
21. Fear of disciplinary action 5 4 3 2 1
22. Fear of losing patient trust 5 4 3 2 1
23. Fear of losing colleague support 5 4 3 2 1
24. Fear of personal failure 5 4 3 2 1
25. Fear of losing self-esteem 5 4 3 2 1
26. Fear of damaged reputation 5 4 3 2 1
27. Fear of judgment from colleagues 5 4 3 2 1
28. Fear of losing malpractice insurance coverage 5 4 3 2 1
29. Fear of increased insurance premiums 5 4 3 2 1
30. Fear of shame 5 4 3 2 1
31. Fear that peers will question my competence 5 4 3 2 1