Comment by retroformat
5 days ago
Although not especially “current,” Normal Accidents: Living with High-Risk Technologies is a 1984 book by Yale sociologist Charles Perrow, which analyses complex systems from a sociological perspective. Perrow argues that multiple and unexpected failures are built into society's complex and tightly coupled systems, and that accidents are unavoidable and cannot be designed around. Several historical disasters are analysed. I read a newer edition published in 1999, and the author had added a chapter on Chernobyl, which turned out to be a textbook example of some Perrow’s theory (in particular, that adding fail-safes also adds complexity, thus not necessarily making for any more safety. The Chernobyl disaster was precipitated at least in part, because they were on a tight schedule to test a fail-safe system.) The book is fascinating and a good page turner, hard to put down. Perrow’s book is best combined with a reading of The Doomsday Machine: Confessions of a Nuclear War Planner, by Daniel Ellsberg.
I'm a retired neurosurgical anesthesiologist (38 years in practice). I read Perrow's book several years after it was published. I was struck by how relevant his points of failure were to the practice of anesthesiology, the concept of the danger of tight coupling. I referred to this book over subsequent decades in my presentations on Grand Rounds, but to my knowledge none of the residents or other attendings ever read it.
Read a sample here: https://www.amazon.com/Normal-Accidents-Living-High-Risk-Tec...