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Search results for "Cognitive Errors ("Mistakes")"
Journal Article > Commentary
Graber ML, Berg D, Jerde W, Kibort P, Olson APJ, Parkash V. Diagnosis (Berl). 2018;5:257-266.
This commentary provides a clinical review of a missed diagnosis of Epstein-Barr virus infection that was identified via autopsy and summarizes contributing factors to the incident with an emphasis on the role of cognitive bias. The piece includes the perspectives of the patient's family and from the organization regarding what happened and what could have been done to prevent this outcome. This discussion is the first in a series of diagnostic error case presentations to be published in this journal.
Journal Article > Study
Wang B, Tashiro J, Perez EA, Lasko DS, Sola JE. J Surg Res. 2015;198:400-405.
Retained surgical items are classified as never events, but they continue to occur. This secondary data analysis established a decrease in these events overall after introduction of the World Health Organization's Guidelines for Safe Surgery, though rates did increase for gastric surgeries such as fundoplications. These results demonstrate the need to maintain focus on these preventable, well-studied adverse events.