Journal Article
Commentary

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

Acquaviva K, Haskell H, Johnson J. Journal of professional nursing : official journal of the American Association of Colleges of Nursing. 2013;29:95-101.

This commentary reviews the death of a patient to identify factors that contributed to the incident, including cognitive biases and poor communication between clinicians, and recommends strategies to address them.