01989i0c a2200241   4500001000600000003000600006005001700012008004300029020003100072040004200103100002900145245010500174336002600279337002800305338002700333500001700360504005100377520119900428650001601627650002901643650004401672650003101716u7260SIRSI20251112200004.0|a250723s2020    nyua    rb    001|0 eng d  a9780190088743q(paperback)  aDNLM/DLCbengerdacDLCdDLCdclrauoh  aCroskerry, Pat,eauthor.10aThe cognitive autopsy :ba root cause analysis of medical decision making /cPat Croskerry, MD, PhD.  atextbtxt2rdacontent  aunmediatedbn2rdamedia  avolumebnc2rdacarrier  aCase Reports  aIncludes bibliographical references and index.  a"If you wish to visit a new place, help is available everywhere: maps, guide books, Internet sites for trip planning, online reviews and personal advice etc. But nothing beats finding a local guide, someone who lives there, and knows the land, its people, culture and ""how things work here"".That's exactly the role that Pat Croskerry plays in The Cognitive Autopsy - he's our guide to the still-emerging arena of understanding diagnostic error. Pat has spent a long career working on the front lines in emergency medicine, also known as the emergency room (ER) or the emergency department (ED). Pat knows this place like the back of his hand, and is the perfect person to show us around, and orientate us to what there is to see.The Cognitive Autopsy is a unique and fascinating collection of cases that span the spectrum of diagnostic error types and causes seen in the ED. Each one is its own self-contained story, with lessons of cognitive and affective biases. Stories are powerful, and it is said that stories may be how our knowledge base is organized. A diagnosis is itself a story - the medical story that corresponds to and flows from the patient's story""--cProvided by publisher."  aEmergencies  aClinical Decision-Making  aDiagnostic Errorsxprevention & control  aEmergency Medical Services