The document discusses common anti-patterns in evidence-based decision making, including being impatient, taking shortcuts in sampling and analysis, focusing on a single metric, and believing too strongly in one's own conclusions. It provides examples of companies making misguided decisions due to these anti-patterns, such as ending A/B tests early, ignoring parts of a sample, overemphasizing short-term metrics, and overrelying on persuasive but incorrect stories. The document advocates being patient, rigorous in sampling and analysis, considering multiple relevant metrics, and acknowledging the potential for fallibility.