Bibliography (20):

  1. James Reason, Who Used Swiss Cheese to Explain Human Error, Dies at 86: Mistakes Happen, He Theorized, Because Multiple Vulnerabilities in a System Align—Like Holes in Cheese—To Create Recipe for Disaster

  2. Paging Inspector Sands: The Costs of Public Information

  3. Buridan’s Principle

  4. 2016 Letter to Shareholders

  5. Cleanup When: Before or After?