Comment by bookofjoe

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...