| Pathological | Bureaucratic | Generative |
|---|---|---|
| Power oriented | Rule oriented | Performance oriented |
| Low cooperation | Modest cooperation | High cooperation |
| Messengers “shot” | Messengers neglected | Messengers trained |
| Responsibilities shirked | Narrow responsibilities | Risks are shared |
| Bridging discouraged | Bridging tolerated | Bridging encouraged |
| Failure leads to scapegoating | Failure leads to justice | Failure leads to inquiry |
| Novelty crushed | Novelty leads to problems | Novelty implemented |
https://qualitysafety.bmj.com/content/qhc/13/suppl_2/ii22.full.pdf