The curious cases of the Tenerife plane crash and medical errors: What we see through the Swiss cheese model
“Even a room with flammable gas will not explode unless someone strikes a match.”
– Dr. Bob Wachter
Case 1:
On March 27, 1977, two 747s collided on the runway at Tenerife in the Canary Islands, killing 583 people. On a foggy morning, the KLM 747 was waiting for clearance to take off. Captain Van Zanten was a well-known pilot with excellent safety records. The KLM crew spotted a Pan Am 747 taxiing …