Melanie Clay Wright
Adjunct Assistant Professor in the Department of Anesthesiology
Dr. Wright’s most significant contributions have been in the area of training and assessing healthcare teamwork skills. She is currently working on a research project funded by the National Library of Medicine to apply effective knowledge-elicitation techniques as a first step toward addressing the problem of information overload in critical care environments. Current areas of research focus include (1) the development of human performance metrics for purposes of assessing trainees and for assessing the impact of changes in human-system design, (2) application of human-centered design methods toward the design of intelligent and integrated information displays and alerting systems, and (3) the use of simulation to improve human-system performance in the context of rare adverse events.
Current Appointments & Affiliations
- Adjunct Assistant Professor in the Department of Anesthesiology, Anesthesiology, Clinical Science Departments 2011
Contact Information
- Box 3094 Med Ctr, Durham, NC 27710
- Human Simulation and Patient Safety, 4053 Duke South, Durham, NC 27710
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melanie.wright@trinity-health.org
(919) 684-3103
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Patient Safety Research Program
- Background
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Education, Training, & Certifications
- Ph.D., North Carolina State University 2002
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Previous Appointments & Affiliations
- Assistant Professor in Anesthesiology, Anesthesiology, Clinical Science Departments 2003 - 2011
- Instructor, Temporary in the Anesthesiology, Anesthesiology, Clinical Science Departments 2003
- Research
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Selected Grants
- Pediatric Acute/Chronic Care Nurse Practitioner Program awarded by Health Resources and Service Administration 2009 - 2013
- Information Management in the Perioperative Environment awarded by Agency for Health Care Policy and Research 2006 - 2011
- Virtual Health Care Environments versus Traditional Interactive Team Training: Impact on Team Coordination Behavior and Cost Effectiveness awarded by National Institutes of Health 2006 - 2009
- Defining the Learning Curve in Research Trials awarded by National Institutes of Health 2004 - 2009
- Publications & Artistic Works
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Selected Publications
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Academic Articles
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Wright, Melanie C., Terry Fulmer, and Chad Boult. “Preliminary Validation of a Patient-Reported Measure of the Age-Friendliness of Health Care.” J Am Geriatr Soc 69, no. 1 (January 2021): 180–84. https://doi.org/10.1111/jgs.16881.Full Text Link to Item
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Wright, Melanie C., Sydney Radcliffe, Suzanne Janzen, Judy Edworthy, Thomas Reese, and Noa Segall. “Organizing Audible Alarm Sounds in the Hospital: A Card-Sorting Study.” Ieee Trans Hum Mach Syst 50, no. 6 (December 2020): 623–27. https://doi.org/10.1109/thms.2020.3019363.Full Text Link to Item
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Reese, Thomas J., Guilherme Del Fiol, Joseph E. Tonna, Kensaku Kawamoto, Noa Segall, Charlene Weir, Brekk C. Macpherson, Polina Kukhareva, and Melanie C. Wright. “Impact of integrated graphical display on expert and novice diagnostic performance in critical care.” J Am Med Inform Assoc 27, no. 8 (August 1, 2020): 1287–92. https://doi.org/10.1093/jamia/ocaa086.Full Text Link to Item
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Dishman, D., M. D. Fallacaro, N. Damico, and M. C. Wright. “Adaptation and Validation of the Situation Awareness Global Assessment Technique for Nurse Anesthesia Graduate Students.” Clinical Simulation in Nursing 43 (June 1, 2020): 35–43. https://doi.org/10.1016/j.ecns.2020.02.003.Full Text
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Wright, Melanie C. “High-stakes assessment in anesthesia via simulation: Are we there yet?” Can J Anaesth 66, no. 12 (December 2019): 1431–36. https://doi.org/10.1007/s12630-019-01489-3.Full Text Link to Item
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Wright, Melanie C., Damian Borbolla, Rosalie G. Waller, Guilherme Del Fiol, Thomas Reese, Paige Nesbitt, and Noa Segall. “Critical care information display approaches and design frameworks: A systematic review and meta-analysis.” J Biomed Inform X 3 (September 2019). https://doi.org/10.1016/j.yjbinx.2019.100041.Full Text Link to Item
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Waller, Rosalie G., Melanie C. Wright, Noa Segall, Paige Nesbitt, Thomas Reese, Damian Borbolla, and Guilherme Del Fiol. “Novel displays of patient information in critical care settings: a systematic review.” J Am Med Inform Assoc 26, no. 5 (May 1, 2019): 479–89. https://doi.org/10.1093/jamia/ocy193.Full Text Link to Item
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Edworthy, J. R., R. R. McNeer, C. L. Bennett, R. Dudaryk, S. J. P. McDougall, J. J. Schlesinger, M. L. Bolton, et al. “Getting Better Hospital Alarm Sounds Into a Global Standard.” Ergonomics in Design 26, no. 4 (October 1, 2018): 4–13. https://doi.org/10.1177/1064804618763268.Full Text
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Reese, Thomas, Noa Segall, Paige Nesbitt, Guilherme Del Fiol, Rosalie Waller, Brekk C. Macpherson, Joseph E. Tonna, and Melanie C. Wright. “Patient information organization in the intensive care setting: expert knowledge elicitation with card sorting methods.” J Am Med Inform Assoc 25, no. 8 (August 1, 2018): 1026–35. https://doi.org/10.1093/jamia/ocy045.Full Text Link to Item
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Wright, Melanie C., Sherry Dunbar, Brekk C. Macpherson, Eugene W. Moretti, Guillherme Del Fiol, Jean Bolte, Jeffrey M. Taekman, and Noa Segall. “Toward Designing Information Display to Support Critical Care. A Qualitative Contextual Evaluation and Visioning Effort.” Appl Clin Inform 7, no. 4 (October 5, 2016): 912–29. https://doi.org/10.4338/ACI-2016-03-RA-0033.Full Text Link to Item
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Breitkreuz, Karen R., Renae L. Dougal, and Melanie C. Wright. “How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention?” Simul Healthc 11, no. 5 (October 2016): 323–33. https://doi.org/10.1097/SIH.0000000000000174.Full Text Link to Item
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Segall, Noa, Alberto S. Bonifacio, Atilio Barbeito, Rebecca A. Schroeder, Sharon R. Perfect, Melanie C. Wright, James D. Emery, B Zane Atkins, Jeffrey M. Taekman, and Jonathan B. Mark. “Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach.” Jt Comm J Qual Patient Saf 42, no. 9 (September 2016): 400–414. https://doi.org/10.1016/s1553-7250(16)42081-7.Full Text Link to Item
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Segall, Noa, Gene Hobbs, Christopher B. Granger, Amanda E. Anderson, Alberto S. Bonifacio, Jeffrey M. Taekman, and Melanie C. Wright. “Patient load effects on response time to critical arrhythmias in cardiac telemetry: a randomized trial.” Crit Care Med 43, no. 5 (May 2015): 1036–42. https://doi.org/10.1097/CCM.0000000000000923.Full Text Link to Item
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Wright, Melanie C., Noa Segall, Gene Hobbs, Barbara Phillips-Bute, Laura Maynard, and Jeffrey M. Taekman. “Standardized assessment for evaluation of team skills: validity and feasibility.” Simul Healthc 8, no. 5 (October 2013): 292–303. https://doi.org/10.1097/SIH.0b013e318290a022.Full Text Link to Item
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Segall, Noa, David B. Kaber, Jeffrey M. Taekman, and Melanie C. Wright. “A Cognitive Modeling Approach to Decision Support Tool Design for Anesthesia Provider Crisis Management.” Int J Hum Comput Interact 29, no. 2 (2013): 55–66. https://doi.org/10.1080/10447318.2012.681220.Full Text Link to Item
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Segall, Noa, Alberto S. Bonifacio, Rebecca A. Schroeder, Atilio Barbeito, Dawn Rogers, Deirdre K. Thornlow, James Emery, et al. “Can we make postoperative patient handovers safer? A systematic review of the literature.” Anesth Analg 115, no. 1 (July 2012): 102–15. https://doi.org/10.1213/ANE.0b013e318253af4b.Full Text Link to Item
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Chen, Jerome Gene, Melanie C. Wright, Phillip Brian Smith, James Jaggers, and Kshitij P. Mistry. “Adaptation of a postoperative handoff communication process for children with heart disease: a quantitative study.” Am J Med Qual 26, no. 5 (September 2011): 380–86. https://doi.org/10.1177/1062860610394342.Full Text Link to Item
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Segall, Noa, Jeffrey G. Saville, Pete L’Engle, Boyd Carlson, Melanie C. Wright, Kevin Schulman, and James E. Tcheng. “Usability evaluation of a personal health record.” Amia Annu Symp Proc 2011 (2011): 1233–42.Link to Item
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Hobgood, Cherri, Gwen Sherwood, Karen Frush, David Hollar, Laura Maynard, Beverly Foster, Susan Sawning, et al. “Teamwork training with nursing and medical students: does the method matter? Results of an interinstitutional, interdisciplinary collaboration.” Qual Saf Health Care 19, no. 6 (December 2010): e25. https://doi.org/10.1136/qshc.2008.031732.Full Text Link to Item
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Pfaff, M. S., M. D. McNeese, L. Allender, D. J. Mendonça, W. D. Gray, and M. C. Wright. “Multidisciplinary perspectives on simulations and games in human factors research.” Proceedings of the Human Factors and Ergonomics Society 1 (December 1, 2010): 294–98. https://doi.org/10.1518/107118110X12829369201232.Full Text
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Taekman, J. M., M. Stafford-Smith, E. J. Velazquez, M. C. Wright, B. G. Phillips-Bute, M. A. Pfeffer, M. A. Sellers, et al. “Departures from the protocol during conduct of a clinical trial: a pattern from the data record consistent with a learning curve.” Qual Saf Health Care 19, no. 5 (October 2010): 405–10. https://doi.org/10.1136/qshc.2008.028605.Full Text Link to Item
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Chen, J Gene, Kshitij P. Mistry, Melanie C. Wright, and David A. Turner. “Postoperative handoff communication: a simulation-based training method.” Simul Healthc 5, no. 4 (August 2010): 242–47. https://doi.org/10.1097/SIH.0b013e3181e3bd07.Full Text Link to Item
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Wright, M. C., N. Segall, J. B. Mark, and J. M. Taekman. “Qualitative and task analytic methods to support comprehensible intelligent system design.” Isda 2009 9th International Conference on Intelligent Systems Design and Applications, December 1, 2009, 444–49. https://doi.org/10.1109/ISDA.2009.173.Full Text
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Wright, Melanie C., Barbara G. Phillips-Bute, Emil R. Petrusa, Kathleen L. Griffin, Gene W. Hobbs, and Jeffrey M. Taekman. “Assessing teamwork in medical education and practice: relating behavioural teamwork ratings and clinical performance.” Med Teach 31, no. 1 (January 2009): 30–38. https://doi.org/10.1080/01421590802070853.Full Text Link to Item
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Wright, M. C., B. G. Phillips Bute, E. R. Petrusa, K. L. Griffin, G. W. Hobbs, and J. M. Taekman. “Assessing teamwork in medical education and practice: Relating behavioural teamwork ratings and clinical performance.” Medical Teacher, September 2008, 1–9.
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Marks, Lawrence B., Kim L. Light, Jessica L. Hubbs, Debra L. Georgas, Ellen L. Jones, Melanie C. Wright, Christopher G. Willett, and Fang Fang Yin. “The impact of advanced technologies on treatment deviations in radiation treatment delivery.” Int J Radiat Oncol Biol Phys 69, no. 5 (December 1, 2007): 1579–86. https://doi.org/10.1016/j.ijrobp.2007.08.017.Full Text Link to Item
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Segall, N., J. M. Taekman, J. B. Mark, G. Hobbs, and M. C. Wright. “Coding and visualizing eye tracking data in simulated anesthesia care.” Proceedings of the Human Factors and Ergonomics Society 2 (December 1, 2007): 765–69.
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Segall, N., M. C. Wright, and J. M. Taekman. “Human patient simulation as a research tool in cognitive engineering.” Conference Proceedings Ieee International Conference on Systems, Man and Cybernetics, December 1, 2007, 2256–60. https://doi.org/10.1109/ICSMC.2007.4413802.Full Text
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Taekman, Jeffrey M., Eugene Hobbs, and Melanie C. Wright. “Intraoperative apnea: medication error with disclosure (simulation case scenario).” Simul Healthc 2, no. 1 (2007): 39–42. https://doi.org/10.1097/SIH.0b013e3180317c33.Full Text Link to Item
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Wright, M. C., B. Phillips-Bute, J. B. Mark, M. Stafford-Smith, K. P. Grichnik, B. C. Andregg, and J. M. Taekman. “Time of day effects on the incidence of anesthetic adverse events.” Qual Saf Health Care 15, no. 4 (August 2006): 258–63. https://doi.org/10.1136/qshc.2005.017566.Full Text Link to Item
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Kaber, D. B., M. C. Wright, and M. A. Sheik-Nainar. “Investigation of multi-modal interface features for adaptive automation of a human-robot system.” International Journal of Human Computer Studies 64, no. 6 (June 1, 2006): 527–40. https://doi.org/10.1016/j.ijhcs.2005.11.003.Full Text
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Wright, M. C., X. Luo, W. J. Richardson, M. M. Leonard, S. M. Hohenhaus, J. M. Taekman, and K. S. Frush. “Piloting team training at Duke University health system.” Proceedings of the Human Factors and Ergonomics Society, January 1, 2006, 949–53. https://doi.org/10.1177/154193120605001032.Full Text
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Wright, Melanie C., Jeffrey M. Taekman, Linda Barber, Gene Hobbs, Mark F. Newman, and Mark Stafford-Smith. “The use of high-fidelity human patient simulation as an evaluative tool in the development of clinical research protocols and procedures.” Contemp Clin Trials 26, no. 6 (December 2005): 646–59. https://doi.org/10.1016/j.cct.2005.09.004.Full Text Link to Item
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Kaber, David B., Melanie C. Wright, Lawrence J. Prinzel, and Michael P. Clamann. “Adaptive automation of human-machine system information-processing functions.” Hum Factors 47, no. 4 (2005): 730–41. https://doi.org/10.1518/001872005775570989.Full Text Link to Item
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Wright, M. C., B. C. Andregg, J. B. Mark, M. Stafford-Smith, K. P. Grichnik, B. Phillips-Bute, and J. M. Taekman. “Effects of time of day and surgery duration on adverse events in anaesthesia.” Healthcare Systems Ergonomics and Patient Safety: Human Factor, a Bridge Between Care and Cure Proceedings of the International Conference Heps 2005, 2005, 377–80.
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Wright, Melanie C., and David B. Kaber. “Effects of automation of information-processing functions on teamwork.” Hum Factors 47, no. 1 (2005): 50–66. https://doi.org/10.1518/0018720053653776.Full Text Link to Item
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Wright, M. C., J. M. Taekman, and M. R. Endsley. “Objective measures of situation awareness in a simulated medical environment.” Qual Saf Health Care 13 Suppl 1 (October 2004): i65–71. https://doi.org/10.1136/qhc.13.suppl_1.i65.Full Text Link to Item
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Taekman, Jeffrey M., Gene Hobbs, Linda Barber, Barbara G. Phillips-Bute, Melanie C. Wright, Mark F. Newman, and Mark Stafford-Smith. “Preliminary report on the use of high-fidelity simulation in the training of study coordinators conducting a clinical research protocol.” Anesth Analg 99, no. 2 (August 2004): 521–27. https://doi.org/10.1213/01.ANE.0000132694.77191.BA.Full Text Link to Item
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Panch, Trishan, Erin Duralde, Heather Mattie, Gopal Kotecha, Leo Anthony Celi, Melanie Wright, and Felix Greaves. “A distributed approach to the regulation of clinical AI.” Plos Digital Health 1, no. 5 (n.d.): e0000040–e0000040. https://doi.org/10.1371/journal.pdig.0000040.Full Text
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Book Sections
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Wright, M. C., and M. R. Endsley. “Building shared situation awareness in healthcare settings.” In Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace, 97–115, 2012.
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Wright, M. C., and M. R. Endsley. “Building shared situation awareness in healthcare settings.” In Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace, 97–114, 2008.
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Conference Papers
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Reese, T. J., K. Kawamoto, G. D. Fiol, C. Weir, J. Tonna, N. Segall, P. Nesbitt, et al. “Approaching the Design of an Information Display to Support Critical Care.” In Proceedings 2017 Ieee International Conference on Healthcare Informatics, Ichi 2017, 439–43, 2017. https://doi.org/10.1109/ICHI.2017.64.Full Text
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Segall, N., D. Borbolla, G. D. Fiol, R. Waller, T. Reese, P. Nesbitt, and M. C. Wright. “Trend Displays to Support Critical Care: A Systematic Review.” In Proceedings 2017 Ieee International Conference on Healthcare Informatics, Ichi 2017, 305–13, 2017. https://doi.org/10.1109/ICHI.2017.85.Full Text
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Waller, Rosalie, Noa Segall, Damian Borbolla, Paige Nesbitt, Thomas Reese, Guilherme Del Fiol, and Melanie Wright. “GRAPHICAL DISPLAY OF PATIENT INFORMATION IMPROVES OUTCOMES IN CRITICAL CARE: A SYSTEMATIC REVIEW.” In Critical Care Medicine, Vol. 44. LIPPINCOTT WILLIAMS & WILKINS, 2016.Link to Item
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Wright, Melanie, Rosalie Waller, Paige Nesbitt, Noa Segall, Damian Borbolla, Thomas Reese, and Guilherme Del Fiol. “DISPLAY FEATURES THAT IMPROVE INTERPRETATION OF CRITICAL CARE INFORMATION: A SYSTEMATIC REVIEW.” In Critical Care Medicine, Vol. 44. LIPPINCOTT WILLIAMS & WILKINS, 2016.Link to Item
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Chen, Jerome, David Turner, Melanie Wright, Richard Ing, Andrew Lodge, James Jaggers, Phillip Smith, and Kshitij Mistry. “HANDOFF COMMUNICATION QUALITY: IMPROVING SITUATION AWARENESS WITH SIMULATION.” In Critical Care Medicine, 37:A355–A355. LIPPINCOTT WILLIAMS & WILKINS, 2009.Link to Item
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Chen, Lerome G., Kshitij P. Mistry, and Melanie C. Wright. “SUSTAINING THE SUCCESS OF QUALITY IMPROVEMENT INITIATIVES: EVALUATING A POST OPERATIVE CARDIAC SURGERY HANDOFF PROCESS.” In Critical Care Medicine, 36:A9–A9. LIPPINCOTT WILLIAMS & WILKINS, 2008.Link to Item
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Marks, L. B., J. L. Hubbs, K. L. Light, R. W. Clough, M. Lei, E. L. Jones, D. L. Georgas, M. C. Wright, F. Yin, and C. G. Willett. “Improving Safety for Patients Receiving Radiotherapy: The Successful Application of Quality Assurance Initiatives.” In International Journal of Radiation Oncology*Biology*Physics, 72:S143–S143. Elsevier BV, 2008. https://doi.org/10.1016/j.ijrobp.2008.06.464.Full Text
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Marks, L. B., K. L. Light, D. L. Georgas, J. L. Hubbs, E. L. Jones, M. C. Wright, C. G. Willett, and F. Yin. “Impact of Advanced Technologies on the Rate of Deviations in Radiation Treatment Delivery.” In International Journal of Radiation Oncology*Biology*Physics, 69:S195–96. Elsevier BV, 2007. https://doi.org/10.1016/j.ijrobp.2007.07.354.Full Text
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Segall, Noa, Melanie C. Wright, Jeffrey M. Taekman, and Jeffrey M. IEEE. “Human patient simulation as a research tool in cognitive engineering.” In 2007 Ieee International Conference on Systems, Man and Cybernetics, Vols 1 8, 1345–49, 2007.Link to Item
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