If you can’t analyze what went wrong without such analysis being criticized as “blame”, then it will be really difficult to prevent other health care workers from getting sick.
Whenever something goes wrong, people who deal with safety and risk management analyze the situation, determine where the problem occurred, take steps to mitigate the problem, and very often use the incident as an example of how failure to follow standard procedures leads to trouble.
We have protocols for dealing with Ebola. We have been dealing with Ebola for decades. If those protocols are not followed to the letter, we need to know how and why they were bypassed, so as to prevent those lapses in the future.
Ebola did not suddenly become more contagious because someone did not use PPE properly.
“If you cant analyze what went wrong without such analysis being criticized as blame,”
Unfortunately this is NOT the case — the CDC is making the UNSUBSTANTIATED statement that the nurse breached protocol, without any evidence of whether or not she did and without them being able to say what the breach was.