paper
Governance failures rarely stem from illegality. More often, they arise from lawful, compliant decisions that prove strategically or ethically unsound. This ISI paper explores why boards must move beyond “Can we?” and institutionalise the discipline of asking “Should we?”.
paper
Healthcare AI, sustainability, and net zero are not technical challenges with tidy solutions. They are wicked problems—complex, evolving, and resistant to linear control. This paper sets out an integrity-based governance architecture for holding risk, accountability, and adaptation under pressure.
paper
AI governance does not fail at approval. It fails when drift, workload, and accountability pressures appear after deployment. This paper outlines a practical integrity architecture for governing AI in real clinical systems.
paper
Dr Alwin Tan, MBBS, FRACS, EMBA (University of Melbourne), AI in Healthcare (Harvard Medical School) Senior Surgeon | Governance Leader | HealthTech Co-founder |Harvard Medical School — AI in Healthcare | Australian Institute of Company Directors — GAICD candidate University of Oxford — Sustainable Enterprise Institute for Systems Integrity (ISI) Abstract Healthcare AI governance has entered
paper
This paper examines why systems resist change under pressure and how structurally protected variables shape governance behaviour and outcomes.
Systems Integrity Toolkit
The Systems Integrity Toolkit – Phase I introduces a governance architecture for understanding how integrity fails under system stress and how organisations can intervene before harm occurs.
paper
A systems analysis of how urgency compresses judgment, suppresses signals, and accelerates governance failure — and why pause must be designed as a control condition.