Bradford W. Duncan

Learn More
For a number of years, simulators have been used in aviation, nuclear power, military flight operations and other industries as a training tool and method to assess performance. Their use is nearly universal in high reliability organizations. Recently the use of simulation in medicine has increased markedly, in part due to greater awareness of the(More)
Introduction Fatigue may contribute to the human error component of medical errors. Hospitals function around the clock, which necessitates shift work for many personnel. Physicians, especially those in training, typically work long hours and are often sleep deprived. Personnel who work during evenings and at night experience disruptions in circadian(More)
Preface In health care as in other arenas, that which cannot be measured is difficult to improve. Providers, consumers, policy makers, and others seeking to improve the quality of health care need accessible, reliable indicators of quality that they can use to flag potential problems or successes; follow trends over time; and identify disparities across(More)
There are several commonly used measures of association between treatment and control event rates in the population (piT and piC, respectively). One such measure, the number needed to treat (NNT) indicates the number of patients, on average, who must be treated in order to prevent one additional adverse event, and is equal to 1/(piC - piT). Because the(More)
ii Preface The Agency for Healthcare Research and Quality (AHRQ), formerly the Agency for Health Care Policy and Research (AHCPR), through its Evidence-based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments to assist public-and private-sector organizations in their efforts to improve the quality of health care(More)
  • 1