DOWNLOAD [pdf] Cognitive Autopsy A Root Cause Analysis of Medical Decision Making by Pat Croskerry on Ipad New Pages
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Book Synopsis : 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. Generally, the majority of diagnostic failures are attributed to theclinicians directly involved with the patient, and to a lesser extent, the system in which they work. In turn, the majority of errors made by clinicians are due to decision making failures manifested by various departures from rationality. Of all the medical environments in which patients are seenand 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 .
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