{"product_id":"cognitive-autopsy-a-root-cause-analysis-of-medical-decision-making-the","title":"Cognitive Autopsy A Root Cause Analysis of Medical Decision Making, The","description":"\u003cp\u003eBehind 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 the clinicians 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\n\u003cbr\u003efailures 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\n\u003cbr\u003edescribed 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\n\u003cbr\u003eroot 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\n\u003cbr\u003ethis 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.\u003c\/p\u003e","brand":"Oxford University Press","offers":[{"title":"Default Title","offer_id":44086579658990,"sku":"9780190088743","price":121.31,"currency_code":"AUD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0630\/9612\/7726\/files\/9780190088743.jpg?v=1706211122","url":"https:\/\/bookland.com.au\/products\/cognitive-autopsy-a-root-cause-analysis-of-medical-decision-making-the","provider":"Book Land AU","version":"1.0","type":"link"}