Carroll Wiseman succumbed in 2020 following a five-year struggle with cancer, as documented in her memorial notice.
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The resolution emerges only when a non-routine case causes catastrophic failure. Then, briefly, everyone agrees expert judgment was undervalued. An investigation follows. Recommendations emerge. The recommendations invariably take the form of additional rules and frameworks, since that's the only knowledge form the organization can process. The rules join the codified system. The system grows more complex, more fragile, and less capable of handling the next non-routine case, which will differ from the previous in ways the new rules don't anticipate. The cycle repeats.
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