Must read for anyone in IT "While the system was stress-tested using automated testing tools, users received little or no advance training on the system. Crucially, there was no dry run to test how Orca would perform over the public Internet."  
So much for DevOps automated testing approach...

"While 11 backend database servers had been provisioned for the system—probably running on virtual machines—the "mobile" piece of Orca was a Web application supported by a single Web server and a single application server. "
Not designed for availability

"volunteer training at Boston headquarters amounted to a series of 90-minute conference calls "
Too much technology, not enough process or people
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