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At the low end of wage distribution, there is reason to fear adverse consequences for particular groups because of increased competition for jobs.
Patients might fear adverse consequences, or healthcare providers could become overly reliant on patient engagement and more lax in their own safety practices.
Third, incomplete reporting may compromise the accuracy of any data source used for identifying patient safety problems, as medical providers might fear adverse consequences of 'full disclosure' in potentially public records such as discharge abstracts.
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In the early and mid-twentieth century, rape remained underreported because women feared adverse consequences if they spoke out about what had happened to them.
2. There should be transparent opportunities for trainees, technicians, and colleagues to discuss and report troubling or unethical behaviors without fearing adverse consequences.
This would be relatively straightforward if sufficient insulin could be administered to reduce glucose levels to within the 'normal' range, but this ignores the devastating effects of hypoglycaemia, the most feared adverse consequence of glucose-lowering therapy 9– 11.
Some have justified not being open because of fear of adverse consequences for them or their employer, such as litigation.
In many cases, nutritious foods were withheld from children for fear of adverse consequences [ 4, 15].
However, it is possible that spinal surgery may be regarded with more skepticism due to fear of adverse consequences.
The current lack of consensus forces individual physicians to weigh the fear of adverse consequences against the potential therapeutic benefits [ 9- 11].
There is poor knowledge on what the barriers are that hinder employees to seek attention for an occupational disease and to turn to a physician, such as fear for adverse consequences.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com