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You should read Charles Perrow's "Normal Accidents" and all will be revealed. This is hardly a new problem.

http://www.amazon.com/Normal-Accidents-Living-High-Risk-Tech...

phlo · 2013-07-06 · Original thread
If you liked "How Complex Systems Fail", you may be interested in "Normal Accidents" [1]. It's basically the long-form complete version of the paper you mentioned and packed with interesting examples.

[1] http://www.amazon.com/Normal-Accidents-Living-High-Risk-Tech...

Here's another good resource for understanding these types of problems:

http://www.amazon.com/Normal-Accidents-Living-High-Risk-Tech...

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