Work examining the conditions required for sound judgment, accountability, and ethical decision-making under pressure.
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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.
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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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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