Although tragic, from a design perspective there was not much more that could have been done to prevent this. There were quite a few alerts and procedures in place to prevent this kind of catastrophe. The story is however a cautionary tale for designers: it’s important to remember that when a person using your device or program is immersed in it, their focused attention might well drown out other things, including warnings and alerts. Therefore we need to always be aware of that possibility, and be prepared to repeat our message, depending on the seriousness of the situation.