Cognitive Autopsy in Emergency Medicine

Ruth Ryan rryan at LAMMICO.COM
Tue Oct 21 18:06:04 UTC 2014


The current issue of the Sullivan Group or TSG Newsletter aimed at emergency medicine carries an article about a case of missed diagnosis of Long QT Syndrome and does a cognitive autopsy. Click here https://www.thesullivangroup.com/risk_resources/newsletters/TSGFall2014Newsletter.pdf

Question about cognitive autopsies: why don't we see "Denial" listed among the cognitive biases and errors in diagnosis? We see denial and sometimes paralysis in serious events (I can't believe this charming patient could have a grave diagnosis; I'm not really seeing postpartum hemorrhage; my patient's not having a post op complication from a bile duct I nicked; I can't possibly be seeing the first case of Ebola diagnosed in the US, etc.)

Ruth
Ruth Ryan RN, BSN, MSW, CPHRM
Senior Risk Management Education Specialist
LAMMICO
1 Galleria Blvd., Suite 700
Metairie, LA 70001
E-Mail rryan at lammico.com<mailto:rryan at lammico.com>
Telephone (504) 841-2736
Fax (504) 841-5312


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