Pattern
Hospital adoption engineering
This note decides when a pilot may advance: only when an operating owner accepts the work and repeat use survives beyond the sponsor. It maps stakeholders and tests activation, voluntary use and abandonment, so a reader can separate sponsored use from routine institutional use. Map the people, evidence, approvals, work, and support needed to move from sponsored pilot to routine institutional use.
Map
Record authority, influence, veto power, evidence need, objection, approval, implementation duty, and long-term owner for each stakeholder.
Test
Measure time to activation, voluntary use, repeat use, abandonment, staff work transferred, exception volume, and behavior after exceptional support ends.
Decision
A pilot advances only when an operating owner accepts the work and repeat use survives beyond the sponsor.