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The DMS must rapidly reshape its systems to cultivate and sustain innovation and the implementation of new digital technologies

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  • Contributors AMB and NT co-wrote the manuscript. AMB is guarantor of the work. NT planned the work and provided strategic direction.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.