but don't find out about it for three and a half years?
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14 Feb 2021
The Swiss Cheese model of accident causation likens human system defences to a series of slices of randomly-holed Swiss Cheese arranged vertically and parallel to each other with gaps in-between each slice. Defences against failure are modelled as a series of barriers, represented as slices of the cheese. The holes in the cheese slices represent individual weaknesses in individual parts of the system. The system as a whole produces failures when holes in all of the slices momentarily align, permitting "a trajectory of accident opportunity," so that a hazard passes through holes in all of the defences, leading to an accident.
OR: Lan Wangji and Wei Wuxian go to the courthouse.
OR: “Sweethearts,” the city clerk had said, very gently, “you’re already married.”
- Part 2 of live from new york: an snl au