Design Pattern · September 2026

Failure mechanism map

Locate where a regulated intervention fails, what can be measured, and which party can change the binding condition.

Under the pillar Therapeutic Enablement

Classify

Separate biological, technical, behavioral, operational, institutional, financial, informational, regulatory, and distributional failures.

Trace

For each mechanism, record the observed failure, precursor, measure, plausible cause, modifiable condition, responsible party, economic consequence, contrary evidence, and smallest test.

Decision

Work on the mechanism that limits the outcome and can be changed. Stop when the proposed mechanism is weak, immaterial, or beyond practical control.

Put this to work

Failure mechanism map application record

Apply Failure mechanism map to a real piece of work and record what happened.

For
Clinical, operational, product, reimbursement, and implementation leaders.
What you keep
A failure mechanism map application record you can review, revise, and send.
What counts as sound
  • Names a real setting
  • Shows the work before and after
  • Records exceptions
  • Uses an observable result
  • Ends with keep, revise, or stop

Clinical, regulatory, privacy, and release decisions remain with qualified people.

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