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The patient was promptly transferred for emergent surgery but sadly died intraoperatively.<\/jats:p>\n               <jats:p>Delayed or missed diagnosis of acute aortic dissection (AAD) is common. The dual-processing theory (DPT) of human judgement can be applied to medical decision making and used to explain this potential for diagnostic error in AAD diagnosis. A greater awareness of DPT and the role of heuristics and biases in medical decision making may help to reduce medical diagnostic error.<\/jats:p>","DOI":"10.1136\/bcr-2021-242036","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T11:35:53Z","timestamp":1653305753000},"page":"e242036","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Dual-processing theory helps to explain delay in diagnosis of Stanford type A aortic dissection"],"prefix":"10.1136","volume":"15","author":[{"given":"Alexander","family":"Moffat","sequence":"first","affiliation":[{"name":"Department of Cardiology, Worcestershire Acute Hospitals NHS Trust, Worcester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Formisano","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Worcestershire Acute Hospitals NHS Trust, Worcester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Routledge","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Worcestershire Acute Hospitals NHS Trust, Worcester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleanor","family":"Bradbury","sequence":"additional","affiliation":[{"name":"College of Health, Life and Environmental Sciences, University of Worcester, Worcester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Worcestershire Acute Hospitals NHS Trust, Worcester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,4,22]]},"reference":[{"key":"2025082704060731000_15.4.e242036.1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvs.2021.08.080","article-title":"A systematic review and meta-analysis of the incidence of acute aortic dissections in population-based studies","volume":"75","author":"Gouveia E Melo","year":"2022","journal-title":"J Vasc Surg"},{"key":"2025082704060731000_15.4.e242036.2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"2025082704060731000_15.4.e242036.3","unstructured":"Healthcare Safety Investigation Branch . 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Acute aortic dissection \u2013 the great mimicker: how can we improve patient outcomes? Radcliffe cardiology. 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