Systems Thinking,

paper

When Trust Is Tested: Responding to AI-Related Harm in Healthcare From Adverse Events to System Learning and Continuing Assurance

When AI contributes to patient harm, the task is bigger than finding fault. This paper examines how healthcare systems should protect patients, identify wider exposure, investigate across the socio-technical system, align accountability and maintain continuing assurance.

Dr Alwin Tan

🚨 WHEN THE KPI BECOMES THE REAL PURPOSE : How Organisations Sacrifice Shared Understanding, Shared Purpose — And Sometimes the Very Outcome They Were Trying to Protect

KPIs are meant to measure progress toward purpose. But when targets acquire enough organisational power, the relationship can reverse: people begin serving the metric rather than the metric serving the purpose.