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Every systemic intervention produces effects beyond what was intended — anticipate and monitor. Complex systems are interconnected: changing one element affects others through pathways that may not be visible to the change agent. Unintended consequences are not failures of planning — they are inherent properties of complex systems. The question is not whether a system change will produce unintended consequences but what those consequences will be and whether the change agent is prepared to detect and respond to them. Effective system change includes monitoring for unintended consequences as a core design element, not an afterthought.