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PSNet: Patient Safety Network
Book/Report

The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making.

Croskerry P. New York, NY: Oxford University Press; 2020. ISBN: 9780190088743. 

Diagnostic error reduction methods are evolving to enhance efforts supporting diagnostic improvements. This publication uses clinical cases to examine cognitive elements that contribute to problematic decision making. The model illustrates how bias and other reasoning flaws are more likely to result in diagnostic errors than a lack of knowledge would.