Potential compatibility gaps
| Transformation | The adopting hospital modifies its functioning to fit the assumptions behind Productive Ward and the actual use of Productive Ward does not significantly differ from its intended use. |
| Customisation | Involves both adapting Productive Ward and adjusting ward processes. |
| Loose coupling | Productive Ward is adopted only superficially, in a ritualistic way with the functioning of the hospital remaining largely unaffected. |
| Co-optation | Productive Ward becomes captured and distorted to serve the interests of the most powerful stakeholders. |