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Do you mind specifying the title of the paper? It appears there's quite a few papers[1][2][3] published concerning Therac-25 by an author named Leveson.

[1] http://sunnyday.mit.edu/papers/therac.pdf

[2] https://ieeexplore.ieee.org/document/274940

[3] https://ieeexplore.ieee.org/document/8102762



Gladly! It's the second of these, "An investigation of the Therac-25 accidents" (1993) w/ DOI 10.1109/MC.1993.274940.

#1 is a later version that was an appendix to her book Safeware (which I have not read), and [3] is a nice second read that follows up on [2] many years later but isn't quite the relentless engineering detective story that makes the original so poignant.



This is the one :-). If I recall right, the journal scan had some additional diagrams some uploads have omitted, so while a PDF isn't the most ergonomic thing it's probably the safe bet.


I will take the opportunity to ask if there’s a good way to read PDFs using phone. How terrible it is!


Probably a Nobel to whoever solves this.


How ironic that, at the time, she was in a professorship endowed by Boeing.


Safeware is good. I read it back in the day. Several good failure analysis.


Thank you!





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