Matt's story: learning from heartbreak.
Approach to Improving Safety
Setting of Care
Medical error affects the lives of patients, families, and members of the care team. Discussing an error that resulted in the death of a young man, this commentary reviews how cognitive bias and misdiagnosis contributed to the incident and the impact of the patient's death on his family, friends, and the physician who made the mistake. The authors highlight the use of autopsy results to identify the error.