As per our new rhythm, Cautionary Tales episodes are released every other Friday, so there will be one appearing again next week. As a bonus for Pushkin+ subscribers, I proudly present another Cautionary Tales “Short”.
A major source was, of course, the inquest report. Another key source was a long piece in the Guardian by Michael Simkins, in which Simkins interviewed the elderly survivor Peter Stoddart. Eric Hollnagel’s research into “work as imagined” and “work as done” is published in, for example, Resilient Health Care, Volume 2, The Resilience of Everyday Clinical Work 2015.