A simple error chain of medication errors for patients in hospital. Serious medication errors in inpatients with drug orders sometimes result in Adverse Drug Events (ADE) and Deaths. See next  IM-646

A simple error chain of medication errors for patients in hospital. Serious medication errors in inpatients with drug orders sometimes result in Adverse Drug Events (ADE) and Deaths. See next IM-646

 Potential Diagnostic Error flows based on Schiff's Diagnostic Error Categories

Potential Diagnostic Error flows based on Schiff's Diagnostic Error Categories

 WIP for Continuity of care ISO From  Wikipedia  Initial Insight Representation from ContSys  IM-4008  with split off patient statechart See  IM-2846  for Agent with infectious disease and  IM-4031  for additional professional statechart

WIP for Continuity of care ISO From Wikipedia Initial Insight Representation from ContSys

IM-4008 with split off patient statechart See IM-2846 for Agent with infectious disease and IM-4031 for additional professional statechart
From David Rees PhD dissertation "Developing a Theory of Implementation for
Better Chronic Health Management" Health Services Research
Centre, Victoria University of Wellington, New Zealand
From David Rees PhD dissertation "Developing a Theory of Implementation for Better Chronic Health Management" Health Services Research Centre, Victoria University of Wellington, New Zealand
Based on diagrams in the NAP 2015  Report  Improving diagnosis in health care process Compare with  IM-885  Clinical judgment to provide context and and Decision Ladder  IM-689  to provide decision process task detail
Based on diagrams in the NAP 2015 Report Improving diagnosis in health care process Compare with IM-885 Clinical judgment to provide context and and Decision Ladder IM-689 to provide decision process task detail
Rich picture version of causal loop diagram for medication errors, showing the importance of reporting, analyzing and fixing knowledge and process errors. Medication errors will tend to grow due to the use of more medications in more complex patients. This is exacerbated by the loss of staff knowled
Rich picture version of causal loop diagram for medication errors, showing the importance of reporting, analyzing and fixing knowledge and process errors. Medication errors will tend to grow due to the use of more medications in more complex patients. This is exacerbated by the loss of staff knowledge by turnover and goal erosion in places with harmful errors.
Examples of macroanalysis relevant to representing causal mechanisms linking genes to diseases from darden2018 MecCog  article  and 2017 Product to Process  article
Examples of macroanalysis relevant to representing causal mechanisms linking genes to diseases from darden2018 MecCog article and 2017 Product to Process article
 Evolution of eHEalth focus from Documenting, to Workflow to Assisting Clinical Judgement. Conceptual confusion among data, information and knowledge models and management. 

Evolution of eHEalth focus from Documenting, to Workflow to Assisting Clinical Judgement. Conceptual confusion among data, information and knowledge models and management. 

 Published (Robert Wears) simple model representation described as a capacitated processing model, modified to separate Patient Flow from workflow. See also  IM-8382  for more recent model

Published (Robert Wears) simple model representation described as a capacitated processing model, modified to separate Patient Flow from workflow. See also IM-8382 for more recent model

WIP detail of ED Clinical processes with focus on Stabilising and Deciding how to Admit or Discharge safely, the Disposition decision. For more aggregated views see  IM-8237  for flows and  IM-6913  for Physician Delegate Agent Interactions
WIP detail of ED Clinical processes with focus on Stabilising and Deciding how to Admit or Discharge safely, the Disposition decision. For more aggregated views see IM-8237 for flows and IM-6913 for Physician Delegate Agent Interactions
 Larry Weed's Medicine in Denial view of health information to make a difference
Larry Weed's Medicine in Denial view of health information to make a difference
From A Philosophical Basis of Medical Practice Toward a Philosophy and Ethic of the Healing Professions Edmund D Pellegrino David C Thomasma OUP Oxford 1981 Ch6  The Anatomy of Clinical Judgments  p119-152 Note judgments have consequences of action, decisions can separate out the knowledge used.  Se
From A Philosophical Basis of Medical Practice Toward a Philosophy and Ethic of the Healing Professions Edmund D Pellegrino David C Thomasma OUP Oxford 1981 Ch6 The Anatomy of Clinical Judgments p119-152 Note judgments have consequences of action, decisions can separate out the knowledge used. 
See also Thinking Like a Nurse IM-703 and Ladder of Inference Assumptions IM-351 and IM-50413 to show diagnostic detail
See reference in diagram notes. WIP for Environment part of primary care regional model. GP centric calibration by JPS at  IM-14117  See also  IM-3126  for Regional Health Service Use Context
See reference in diagram notes. WIP for Environment part of primary care regional model. GP centric calibration by JPS at IM-14117 See also IM-3126 for Regional Health Service Use Context
 Extension of  IM-1401  to clinical judgments of risk and decisions to act  See medical decision making 2016 article  abstract

Extension of IM-1401 to clinical judgments of risk and decisions to act  See medical decision making 2016 article abstract

 WIP for Continuity of care ISO From  Wikipedia  Initial Insight Representation from ContSys  IM-4008  with split off  patient  and professional statecharts See  IM-2846  for Agent with infectious disease and  IM-6913  for ED Physician INteraction

WIP for Continuity of care ISO From Wikipedia Initial Insight Representation from ContSys

IM-4008 with split off patient and professional statecharts See IM-2846 for Agent with infectious disease and IM-6913 for ED Physician INteraction
 Patients on Treatment represented as people in a swimming pool. Fast Switchers change costumes. Lapsed Users sit by the pool. Misdiagnosed people are in the wrong pool. Extended from  IM-305

Patients on Treatment represented as people in a swimming pool. Fast Switchers change costumes. Lapsed Users sit by the pool. Misdiagnosed people are in the wrong pool. Extended from IM-305

 Rich picture version of causal loop diagram for medication errors, showing the importance of reporting, analyzing and fixing knowledge and process errors. Medication errors will tend to grow due to the use of more medications in more complex patients. This is exacerbated by the loss of staff knowle

Rich picture version of causal loop diagram for medication errors, showing the importance of reporting, analyzing and fixing knowledge and process errors. Medication errors will tend to grow due to the use of more medications in more complex patients. This is exacerbated by the loss of staff knowledge by turnover and goal erosion in places with harmful errors.

From David Rees PhD dissertation "Developing a Theory of Implementation for
Better Chronic Health Management" Health Services Research
Centre, Victoria University of Wellington, New Zealand
From David Rees PhD dissertation "Developing a Theory of Implementation for Better Chronic Health Management" Health Services Research Centre, Victoria University of Wellington, New Zealand