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They reported issues with "shame and blame" culture, hierarchical structures, too little knowledge about the capability of MMC and, in particular, time constraints. Overall, the participating chief physicians showed that they are striving to improve their existing MMCs. While we found a relatively high number of already implemented MMCs we also identified a large heterogeneity in the format of the MMCs. A highly structured MMC including guidelines, checklists or templates does not only considerably improve its o
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