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AI may not flatten healthcare organisations. It may hollow out the middle layer that translates frontline reality into executive understanding — creating a dangerous new risk: organisational blindness.
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Most governance failures do not begin with missing policies. They begin when organisations stop surfacing uncomfortable truths. This paper explores compliance as a signal-integrity system — where silence, filtered escalation, and organisational drift become hidden governance risks.
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Absenteeism in healthcare is often treated as a workforce issue. This ISI analysis reframes it as an early signal of system strain — revealing deeper pressures in workforce design, operational flow and organisational culture with direct implications for patient safety.