Cognitive Autopsy
«This is the first book I have read that uses actual patient care cases to investigate medical decisions that lead to errors and eventually unexpected outcomes. The depth of the discussion in these cases leaves readers with a good understanding of the processes that lead to the outcomes.»
Sheffey N. Massey, DO(Regions Hospital), Doody's
Behind heart disease and cancer, medical error is now listed as one of the leading causes of death. Of the many medical errors that may lead to injury and death, diagnostic failure is regarded as the most significant. Les mer
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failures manifested by various departures from rationality. Of all the medical environments in which patients are seen and diagnosed, the emergency department is the most challenging. It has been described as a "wicked" environment where illness and disease may range from minor ailments and complaints to
severe, life-threatening disorders.
The Cognitive Autopsy is a novel strategy towards understanding medical error and diagnostic failure in 42 clinical cases with which the author was directly involved or became aware of at the time. Essentially, it describes a cognitive approach towards root cause analysis of medical adverse events or near misses. Whereas root cause analysis typically focuses on the observable and measurable aspects of adverse events, the cognitive autopsy attempts to identify covert cognitive processes
that may have contributed to outcomes. In this clinical setting, no cognitive process is directly observable but must be inferred from the behavior of the individual clinician. The book illustrates unequivocally that chief among these cognitive processes are cognitive biases and other flaws in decision
making, rather than knowledge deficits.
Detaljer
- Forlag
- Oxford University Press Inc
- Innbinding
- Paperback
- Språk
- Engelsk
- ISBN
- 9780190088743
- Utgivelsesår
- 2020
- Format
- 25 x 18 cm
Anmeldelser
«This is the first book I have read that uses actual patient care cases to investigate medical decisions that lead to errors and eventually unexpected outcomes. The depth of the discussion in these cases leaves readers with a good understanding of the processes that lead to the outcomes.»
Sheffey N. Massey, DO(Regions Hospital), Doody's