Therac-25 Accidents: We Keep on Learning From Them

A medical physicist describes events around an accident in which a radiation therapy machine killed two patients due to software bugs, a poor quality user interface, an obscure error message, and the machine's failure to shut itself down permanently after noting that something was very wrong. The article ends with some lessons.

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Institutions

Publication Details

Journal
Computer
Published
2024-11-15
DOI
https://doi.org/10.1109/mc.2024.3450197
Citations
3
Primary Topic
Risk and Safety Analysis
Type
article
Field-Weighted Citation Impact
1.38
Controls
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article

Therac-25 Accidents: We Keep on Learning From Them

Natalia Silvis-Cividjian
3 citations
Computer
Risk and Safety Analysis
1.38
article

Therac-25 Accidents: We Keep on Learning From Them

Natalia Silvis-Cividjian
article en
3 citations

Abstract

A medical physicist describes events around an accident in which a radiation therapy machine killed two patients due to software bugs, a poor quality user interface, an obscure error message, and the machine's failure to shut itself down permanently after noting that something was very wrong. The article ends with some lessons.

ComputerVol. 57(12)
Vrije Universiteit Amsterdam (NL)
Gender equality
Openalex Percentile: Top 16%
Risk and Safety Analysis
1.38
DOIOpen Access PDFOpenAlex
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Therac-25 Accidents: We Keep on Learning From Them — Natalia Silvis-Cividjian · Computer (2024) | TGRS Research Map | TGRS