Preventable Medical Errors: The Role of Different Sciences in Medical Education and Practice addresses the issues of staying up to date with evolving medical practices, by providing practical examples linked to real-world patient safety concerns and illustrating theoretical discussions with clear clinical practice scenarios. The book is divided into two sections, Part 1 - How Did It Come To This? and Part 2 - Where Does It Go From Here?; which guide the reader through how we got here historically and how we can navigate our way out using the tools the author presents. Thus paving the way, bridging a gap between theory and practice, while emphasizing the importance of patient safety. Written for all medical professionals, at the forefront of postmodern and scientific medical advancements, to ultimately improve clinical outcomes and reduce preventable medical errors.
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Dr. Montgomery has been an academic neurologist for over 40 years pursuing teaching, clinical and basic research at major academic medical centers. He has authored over 120 peer reviewed journal articles (available on PubMed) and 8 books on medicine (4 on the subject of Deep Brain Stimulation). The last two have been “Reproducibility in Biomedical Research” (Academic Press, 2024) and “The Ethics of Everyday Medicine” (Academic Press, 2023).
Preventable Medical Errors confronts a troubling paradox: despite the dedication of physicians and clinicians, and numerous systematic efforts to reduce harm, the incidence of preventable medical errors remains stubbornly unchanged. This persistent problem threatens not only patient safety but also the confidence of healthcare professionals and the public’s trust in scientific medicine.
This book explores a fundamental, often overlooked root cause: flawed probabilistic reasoning in clinical decision-making. Physicians and clinicians are trained to reason based on probability to predict diagnoses, treatments, and outcomes. But what if the very way they are taught to estimate probabilities is systematically flawed―leading to misjudgments that increase the risk of error?
The premise is clear: even well-intentioned and highly capable practitioners may be predisposed, through their education, to miscalculate risks. If that premise holds, then reshaping how probabilistic reasoning is taught and applied in medicine could yield meaningful reductions in medical errors.
To uncover this, the book traces the historical and intellectual development of probabilistic reasoning in medicine. It highlights the diverse and sometimes conflicting scientific legacies embedded in medical education, which shape how clinicians think, evaluate evidence, and make decisions today.
Ultimately, Preventable Medical Errors offers a critical insight: the current framework for clinical reasoning may be inadvertently contributing to harm. By understanding and correcting this foundational issue, we can empower clinicians to deliver safer, more reliable care―and begin to reverse the trend of preventable harm in modern medicine.
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