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

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-Technologies/dp/0691004129/ref=sr_1_1?crid=3YQ58677MIR0&dib=eyJ2IjoiMSJ9.LD-mIeuyrMvwkHoJaot-oVcGW6-xPPtPg-4h1eakFjzFbMuIbMHosqUgv7sD2v5K4qR1AdXRYQ-oBxr9acvY2EWcZHUCO3PiIfwHJQX7VQs.FGVW6PN1baXMUYAAzM5lYqVn_o1U5VM2Ybsm9XJKm7Q&dib_tag=se&keywords=charles+perrow+normal+accidents&qid=1775140433&sprefix=charles+perrow%2Caps%2C163&sr=8-1&asin=0691004129&revisionId=&format=4&depth=1 https://www.amazon.com/Normal-Accidents-Living-High-Risk-Tec...