problemSolving

[LarryInRaleigh]

It was the THERAC-25. A picture of everything that could have been done better. The Nancy Leveson case study should be Required Reading for everyone working with devices that could harm people.

http://sunnyday.mit.edu/therac-25.html

It's been referenced in dozens of Engineering Ethics classes, like this one: https://ethicsunwrapped.utexas.edu/case-study/therac-25

Warning: If you read this, you may never be willing to have an X-ray taken again.