References

An investigation of the Therac-25 accidents

N.G. Leveson & C.S. Turner (1993)

Computer, 26(7), 18-41.

DOI: https://doi.org/10.1109/mc.1993.274940

Abstract. The definitive technical investigation of the Therac-25 radiation-therapy accidents, in which at least six patients were massively overdosed between 1985 and 1987. Identifies the interaction between a software race condition triggered by fast operator editing and the removal of hardware interlocks present on earlier models.

Tags: safety case-study foundational

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