ABSTRACT

A woman is operated on while she's awake...

A plane runs out of gas while circling an airport for 30 minutes...

A passenger liner is mistaken for an enemy fighter and shot down...

A company invests in a new system that will cost them money...

What do these failure have in common? How can we prevent them from happening again?

chapter 1|8 pages

Background and Perspective

chapter 2|10 pages

Harnessing landmine expertise

chapter 3|10 pages

Not too old to drive

chapter 4|12 pages

“Get this … on the ground”

chapter 5|12 pages

Number please

chapter 6|12 pages

“You guys better take good care of me”

chapter 7|12 pages

Too many cooks

chapter 8|12 pages

Decisions at sea

chapter 10|12 pages

Commentary by William C. Howell