Analysis of how institutional, operational, and cognitive stress shapes decision quality and system behaviour.
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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.
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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