Barely Significant
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Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study.

BMJ Qual Saf · 2014 · PMC3913222 · PMID 24019507

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a clear trendno p-value reported
Given that many systems required significant improvement, it was disappointing that we found a clear trend of decreasing levels of board innovation, especially in relation to quality and safety.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.