Systemic Problems

 When the failure involves significant or many items within the system, then it is a system failure. 

The system itself may be absent, or facets of an existing system may not be working.  Even minor problems may be indicative of a systemic problem. 

 

Example: If 1 out of 7 individuals had a dead battery in an adaptive communication device, the problem could be systemic if the facility has no policy on replacing batteries for adaptive equipment and none of the staff knew who was responsible for doing it or when to do it.

 

A systemic problem requires a PoC that: