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A Proposed Systematic Approach to the Cognitive Autopsy for Internists. Cureus 2022 Jan;14(1):e20965

Date

02/15/2022

Pubmed ID

35154944

Pubmed Central ID

PMC8815710

DOI

10.7759/cureus.20965

Abstract

The cognitive autopsy has been a proposed tool for physicians to evaluate misdiagnosis. However, prior iterations of this tool are cumbersome, not designed for the internist, and may cause users to isolate cognition from systems issues. A 10-point tool was created to be utilized individually or by a group when evaluating an adverse event. This could be used with Croskerry's 2020 "cognitive autopsy" or as a standalone tool for internists. We trialed this tool in large group formats and with individual residents; all reported an improved appreciation of the factors leading to poor outcomes and medical errors.

Author List

Berlin KE, Fletcher KE

Authors

Kathryn Berlin DO Assistant Professor in the Pediatrics department at Medical College of Wisconsin
Kathlyn E. Fletcher MD Professor in the Medicine department at Medical College of Wisconsin