January 7, 2013 | Mark Paradies

Monday Accident & Lessons Learned: Is “software malfunction” a root cause?

Screen Shot 2013-01-03 At 6.10.17 Pm

Here’s a story from the UK about an x-ray incident at a hospital:


From the story, does it sound like they found the root causes?

What lessons learned might they have missed?

Root Cause Analysis
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