Foundational papers that establish core concepts, lenses, and principles for the Institute for Systems Integrity.
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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.
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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