Phase-1 Canon

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Why Oversight Fails Under Pressure: How system stress distorts visibility, weakens governance, and produces predictable outcomes

Governance systems are designed for stability. Under sustained stress, visibility distorts, oversight becomes selectively blind, drift normalises, and outcomes become predictable.

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Decision-Making Under System Stress: Why Good People Make Predictably Weaker Decisions — and What Integrity Requires

Dr Alwin Tan, MBBS, FRACS, EMBA (University of Melbourne), AI in Healthcare (Harvard Medical School) Institute for Systems Integrity Introduction: the limits of individual explanations When adverse outcomes occur, organisations often focus first on individual actions. Questions such as who made the wrong decision or who failed to follow the