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

Kimberly Acquaviva; Helen Haskell; Jean Johnson

Commentary

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

May 22, 2013

Acquaviva K, Haskell H, Johnson J. J Prof Nurs. 2013;29(2):95-101.

View more articles from the same authors.

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.

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

Reducing hospital harm: establishing a command centre to foster situational awareness.

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