Both the intentional violation of safe practices standard and the reckless conduct standard are steps in the right direction for organizations desiring to build a just culture.

However, the reckless conduct standard works most effectively with MERS-TM to foster a truly just culture that:

• seeks to learn from all events
• provides a safe and encouraging reporting environment
• supports accountability that lines up with patients' best interest

For organizations interested in the just culture, the MERS-TM team encourages organizations to seriously consider the reckless conduct standard.

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