Absolutely, for me I think the link is the line "many bully to hide their incompetence ". The best managers accept that sometimes problems arise and mistakes happen (or in the worst case someone acts maliciously), and they take the short term aggro or reputational damage to improve the long term outcome. The bad managers are the exact opposite, they don’t want to deal with the short term problem and will actively bury it regardless of the long term risk to patients. I think that is what has happened here, and sadly often the next step (in my experience) is bullying those subversive elements.