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medRxiv PreprintsInternational30 October 2026

What successful adaptation reveals about capability and dependence in healthcare: A Brittle Threshold perspective

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Healthcare teams routinely adapt to changing demands by redistributing tasks, stretching roles, and reorganizing coordination. Although these adjustments can sustain performance, their immediate success provides limited insight into how they affect the conditions supporting subsequent adaptation. We examined how successful adaptation reorganizes collective work and what these changes might reveal about emerging limits to adaptability. Guided by Brittle Threshold as a sensitizing concept, we conducted a secondary qualitative analysis of 34 anonymized interviews from four studies involving hospi
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