Health care quality problem

Think about a health care quality problem of which you are aware. This can be a problem you have encountered as a nurse or it can be a potential problem you know about/are interested in.
Write a paper, 3-4 pages in length (not including title page and references) addressing the following:
a. How does the problem relate to the IOM’s six domains of health care quality.
b. Describe how teamwork, collaboration, and a culture of safety may impact or prevent the problem.
c. Explain what the concept of “just culture” means to you. Have you experienced a just culture in your place of work, past or present?
d. Using the list of Quality and Safety Education for Nurses (QSEN) competencies, reflect on your own knowledge, attitudes, and skills (KSAs) as they relate to (1) teamwork and collaboration and (2) safety.
Use at least 3 reliable references (e.g. scholarly articles, documents produced by professional organizations). Format your paper using current APA guidelines.

IOM’s Six domains are:
Safe: Avoiding harm to patients from the care that is intended to help them.
Effective: Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and misuse, respectively).
Patient-centered: Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.
Timely: Reducing waits and sometimes harmful delays for both those who receive and those who give care.
Efficient: Avoiding waste, including waste of equipment, supplies, ideas, and energy.
Equitable: Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.