TY - BOOK AU - Miller, Kristen TI - Matt's story: learning from heartbreak SN - 1353-4505 PY - 2018/// KW - *Arrhythmias, Cardiac KW - *Cardiologists/px [Psychology] KW - *Medical Errors/px [Psychology] KW - Athletes KW - Cardiomegaly KW - Family/px [Psychology] KW - Fatal Outcome KW - Humans KW - Male KW - Malpractice/lj [Legislation & Jurisprudence] KW - Suicide KW - Syncope, Vasovagal/di [Diagnosis] KW - Young Adult=253 \\ KW - International journal for quality in health care : journal of the International Society for Quality in Health Care KW - MedStar Institute for Innovation KW - National Center for Human Factors in Healthcare KW - Journal Article N1 - Available online from MWHC library: 1996 - present (selected articles) N2 - The victims of medical error reach far beyond the patient. The aftermath forever changes the lives of the patient's family and physician alike. We explore the life and death of nineteen-year-old Matt, a stellar athlete and better son, and the cognitive bias that led to an unfortunate and consequential medical misdiagnosis. This story is one of family heartbreak, the harsh reality of second victim phenomenon, and ultimately lessons learned in compassion, vigilance, and candidness for the health care industry. We share this tragedy with the medical community in hopes that we improve the use of post-mortems, transparency and disclosure to heal the wounds of our patients' families UR - https://dx.doi.org/10.1093/intqhc/mzy076 ER -