Identify and describe a risk management strategy that the organisation in your inquiry could have undertaken to prevent the health system failure. 

Such strategies may include: Credentialing  Reporting and acting upon near misses and incidents  Accreditation and benchmarking Auditing Monitoring and responding to complaints How might the implementation of this risk management strategy have changed the outcome in the inquiry? 3. Leadership and management Identify and describe Iwo traits/characteristics of an open and transparent leader. Were the characteristics evident in the key figures in the inquiry? Use the evidence from the inquiry to support this assertion. Briefly examine how these characteristics influence the delivery of safe patient care. Use evidence from contemporary literature to support your assertions. 4. Organisational culture Define the term Whistle-blower. Describe what influence the organisational culture had on the quality of care in the inquiry? 

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