Describe a broken process that you have observed or worked with that you believe was (or is) unsafe for patients. What happened? 

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1. Describe a broken process that you have observed or worked with that you believe was (or is) unsafe for patients. What happened?

2. What leadership style was being used?

3. Using the characteristics, core principles of high reliability organizations, explain how that same problem would be addressed in a high reliability organization that has a Just Culture.

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