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Published byGarry McBride Modified over 9 years ago
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Dimitrios Christias Robert Lyon Andreas Petrou Dimitrios Christias Robert Lyon Andreas Petrou
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Therac-25 is a computer-controlled radiation therapy machine that was designed by Atomic Energy of Canada Limited (AECL). It was used in medical institutions to destroy tumors. Operates in a dual-mode. Depends more on software routines to ensure safety. Evolution of Software Several accidents of radiation overdose happened between 1985 and 1987 using the Therac-25 due to software issues. Therac-6 Therac-25 Therac-20
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Concurrency problems - Therac-25 has a software system that allows concurrent access to shared memory. - The fundamental design of the system was flawed, as it lacked synchronization Lack of safety - Therac-25 relied only on its software to ensure safety measures and handling errors Lack of documentation - The system has been developed to display cryptic error messages - The user manuals did not indicate the danger of those malfunctions for the patient health. Lack of testing - Limited and poor test coverage The user centred design - User centred design concerns seemed to override patient safety The role of Government - No information of the development, management and quality control procedures is available Ignorance of the incidents - system users were unconcerned about the fact that Therac-25 was causing harm through its use
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Adhere to basic principles of software engineering Proper testing Extensive documentation Re-using code Arrogance in the assumption that the software is safe Unrealistic risk assessment Interface design that focused on usability rather than safety
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Bozdag, E., 2009. Therac-25 and the security of the computer controlled equipment. [online], Ethics of Science and Technology. Available at [Accessed 01 October 2011]. Leveson, N., 1995. Medical Devices: The Therac-25. [online], University of Washington. Available at [Accessed 01 October 2011]. Lim, J., 1998. An Engineering Disaster: Therac-25. [online], Available at [Accessed 01 October 2011].
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