But public records and interviews with doctors and others familiar with Varian's equipment point to a complicated matrix of computer systems and communication flaws that made such an accident more likely to happen.
The Defense Department's failure to acknowledge the threat of violent Islamist extremism within its ranks, coupled with organizational and communication flaws in the FBI's counterterrorism operations, contributed to the tragedy.
To further illustrate communication flaws participants heard a story which they then had to repeat to another person.
Part of what ignited the discord, many say, is flawed communication about the corral's arrival.
"Supplies from the manufacturer are scarce and erratic, and our communication has been flawed".
Curiously, Dan Cobley, Google UK's Managing Director said in an apology on Google+ in December that "supplies from the manufacturer are scarce, and our communication has been flawed," so it seems that Google is unwilling to shoulder the blame by themselves.
The report showed that public information campaigns before the hurricane failed to properly prepare Puerto Ricans for Hurricane Maria and that flaws in communication between agencies and communities limited the amount of public health and safety information that reached residents in the aftermath of the storm.
These include setting EHR implementation in the context of health care process improvement, building safety into the specification and design of EHRs, safety testing and reporting, and rapid communication of EHR-related saflawsfland and incidents.
As the board prepares its final report about what led to the breakup of the shuttle over Texas on Feb. 1, people deeply involved in the investigation say board members have become more concerned about NASA's flaws in communication and in its evaluating and tracking of problems before the Columbia's launching and during its flight.
In addition, as the dialogues can contain intimate content, for example when discussing an incident or flaws in communication between staff, a GP as trainer may be easier to confide in and can also display more understanding of the situation.
