The Institute for Systems Integrity (ISI)
examines how decisions fail under pressure — and what governance, design, and accountability are required to protect people, institutions, and public trust.
Featured Publication

Decision-Making Under System Stress
Foundation Article#1

Why capable, ethical people make weaker decisions under pressure — and what integrity requires of the systems that govern them.
Most serious failures do not begin with bad decisions.
They begin with stressed systems.
This foundational paper examines how sustained pressure constrains time, attention, and information, producing predictable degradation in decision-making, even among highly capable professionals.
Latest Publication
The Systems Integrity Toolkit — Phase I
Why most integrity failures are not visible in time — and how systems allow harm to accumulate before anyone intervenes
Foundation Toolkit #1

This paper introduces the Systems Integrity Toolkit — Phase I, a governance architecture that consolidates ISI’s foundational research into a practical framework for identifying integrity risk before outcomes harden, showing how system stress, decision degradation, governance mediation, and failure dynamics interact long before harm becomes visible.

Most systems don’t fail because they can’t see the problem.
They fail because they can’t change the things they’ve learned to protect.
As a companion to the Systems Integrity Toolkit — Phase I, this paper examines why integrity risks persist even after they become visible. It explores systemic refusal — the quiet protection of certain variables from change — and shows how governance under pressure can stabilise harm rather than correct it. Together, the Toolkit and this analysis describe a familiar condition in complex organisations: clarity without permission to change.

The Failure Taxonomy: How Harm Emerges Without Malice - Why most disasters are not caused by bad people — but by predictable system drift
Foundation Article#4
This paper introduces the Failure Taxonomy — a structural model showing how harm accumulates in complex systems through drift, signal loss, and accountability inversion, without anyone intending it.

Companion to Foundation Article#4
The ISI Pause Principle explains why governance fails when reaction replaces reflection. Under pressure, systems that remove space between signal and response degrade judgment, suppress warning signs, and invert accountability. Pause is not a leadership trait — it is a governance control condition.

Recent article:
Integrity is a System Property. Why outcomes reflect design, not intent
Foundation Article#3
Integrity is often treated as a personal trait.
This paper shows why it is better understood as a system property — shaped by how authority, accountability, and information are aligned under stress, and why outcomes reflect design rather than intent.

When the Constitution Becomes a Weapon
How governance drift turns compliance into a liability under system stress
Companion to Foundation Article#3
This paper examines how constitutions, delegations, and oversight structures can remain legally intact while drifting out of alignment with real decision-making, allowing compliance to persist even as governance control erodes.

Why Oversight Fails Under Pressure
Foundation Article#2
How system stress distorts visibility, weakens governance, and produces predictable outcomes
Governance mechanisms designed for stable conditions often lose sensitivity under sustained stress.
Signals distort. Drift normalises. Oversight becomes selectively blind.
This paper examines why failures emerge quietly — and why outcomes are best understood as properties of system design, not individual intent.

When Resilience Appears, Governance Has Already Failed. Why frontline heroics are a warning signal — not a success story
Companion to Foundation Article#2.

Frameworks








About the Institute (ISI)

Institute for Systems Integrity (ISI)
The Institute for Systems Integrity is an independent research and analysis initiative examining how complex systems fail under stress — and how integrity erodes across institutions even in the absence of malice or incompetence.
The Institute focuses on decision-making, governance, leadership, and accountability within high-stakes environments, including healthcare, technology, cyber security, sustainability, and business management.
Its work is analytical rather than advisory, and is intended to support boards, executives, policymakers, clinicians, and researchers in understanding systemic risk, institutional drift, and delayed harm.
The Institute operates independently and does not provide consulting or commercial services.
The Institute publishes deliberately and in phases. Additional papers will be added to this series over time.

© 2026 Institute for Systems Integrity. All rights reserved.
Content may be quoted or referenced with attribution.
Commercial reproduction requires written permission.

















