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this nurse took her own life after being blamed and fired for a patient death when it was an issue with the system not just

this nurse took her own life after being blamed and fired for a patient death when it was an issue with the system not just an issue with her mistake, read more here:http://www.nbcnews.com/id/43529641/ns/health-health_care/t/nurses-suicide-highlights-twin-tragedies-medical-errors/

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What should have been done differently to protect this nurse and help her not to feel fully the cause of this error? How would a just culture have better protected her? Please explain with Reference

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