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

Health Care Chronic Disease Primary Care Implementation Services Regional Clinical Care

Rich picture version of Causal loop diagram based on Jack  Homer's paper Worker burnout: a dynamic model with implications  for prevention and control System Dynamics Review 1985 1(1)42-62 See IM-333 for the Simulation model and IM-2178 for a related Causal Loop Diagram of Project Turnover

 

Business Health Care Services Clinical Care Work

Simplest ED Model for Daily ED Performance with 1 ED area rather than 2 in IM-10571. Currently runs over a weekend and calibrated roughly to Weekend Data.Ward net discharges are extended in IM-12414. This insight IM-11936 is the Master Version with the story added. The previous running model, now without a story, is at IM-11079

Health Care Patient Flow Emergency Clinical Care

This is a high level system dynamics model which is built to determine the dynamic relationships of the FSA and Followups capacity. Therefore, it can help clinicians to find out the optimistic method in order to reduce the waiting list. At past clinicians were seeing more FSA patients, however, after few months, the followups patients overwhelmed the clinics. Therefore waiting list has been built up again. By running this model, clinicians can find out the balanced leverage point(s). New Model has been developed, this is a very draft model.

Hospital Patient Flow Health Care Healthcare Clinical Care Decision Making Simulation

Rich picture CLD of Tradeoffs in Responses to Work Pressure in the Service Industry by Rogelio Oliva California Mgt Review 2001 43(4) 26-43 paper

Health Care Services Clinical Care Work

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

Patient statechart split off at IM-4010

Health Care Clinical Care Decision Making EHealth

Jack Homer's model via ithink and Mark Heffernan.  From Jack's  paper Worker burnout: a dynamic model with implications  for prevention and control System Dynamics Review 1985 1(1)42-62. See IM-641 for the Causal loop diagram

Health Care Services Clinical Care Work

Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305

Health Care Hypertension Patient Flow Clinical Care

Simplest ED Model for Daily ED Performance with 1 ED area rather than 2 in IM-10571. Currently runs over a weekend and calibrated roughly to Weekend Data.Ward net discharges are extended in IM-12414. The Master Version of this, with the story added is at IM-11936 Resplit into 2 areas at IM-15023

Health Care Patient Flow Emergency Clinical Care

Modified from Mark Paich et al. 's book: Pharmaceutical product strategy. Fig 4.7 p 69. It formed the basis of a hypertension intervention discussion Aug-Sept 2010

Health Care Chronic Disease Clinical Care Population Health

Simplest ED Model for Weekend  ED Performance with 1 ED area IM-11079  Ward net discharges are extended with Ward and Waitlist inflow and outflow details (informed by IM-7981) WIP

Health Care Patient Flow Emergency Clinical Care Hospital

From Rudolph JW Morrison JB and Carroll JS (2009) The Dynamics of Action-Oriented Problem Solving: Linking Interpretation and Choice. Academy of Management Review 34 (4) p733-756 Available online . This paper won the Forrester Award for 2012 and the presentation talk video is available. The presentation  paper abstract is available in System Dynamics Review 2013 here

Health Care Decision Making Diagnosis Work Clinical Care Action

Clone of IM-11079 ED Model for Daily ED Performance with 2 areas again, as in the previous IM-10571. Focus on shift performance by Specialist.

Health Care Patient Flow Emergency Clinical Care

Simple exposition of going solid article by Cook and Rasmussen 2005 after reading p156 section 4.1 of Modelling in Healthcare by CSMG See also Resilience Cs IM

Health Care Services Patient Flow Performance Clinical Care Work Safety Resilience

WIP for Effects of Senior Staff Weekend Rostering on ED Flows. Two areas Map simplified later to no specific areas Simulation in IM-11079

Health Care Patient Flow Emergency Clinical Care

Broad and detailed Linked concept version of Tanner's Clinical Judgment Model, with the addition of clinical reasoning cycle concepts from T Levett-Jones et al Nurse Education Today 30 (2010) 515-520 and Kathie Lasater (2007) Clinical Judgment Development: Using Simulation to Create an Assessment Rubric. Journal of Nursing Education 46(11)p 496-503

Health Care Clinical Care Decision Making Nursing

Addition of Incident Reporting and Prevention Interventions to a simple error chain of medication errors for patients in hospital IM-10113 

Health Care Medicines Safety Clinical Care

Clone of Clone 4of IM 27348, of JPS IM-27150 of original JPS IM-14117 See reference in diagram notes. WIP for Environment part of primary care regional model

Health Care Demand Regional Services Clinical Care Patient Flow Primary Care

From Adapting ‘Agility’ to Healthcare Service Delivery, by Tom Rust, Khalid Saeed, Isa Bar-On, Oleg Pavlov Paper from July 2013 System dynamics Conference Cambridge MA and also 2012 Conference paper  Could be extended by adding dynamics described in going solid insight

Health Care Services Capacity Clinical Care Patient Flow Work

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.

Health Care Medicines Clinical Care Safety Informatics Performance

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

Health Care Clinical Care Decision Making EHealth

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

Health Care Clinical Care Decision Making EHealth

Physician agents interacting with delegate agents for emergency department assessment diagnosis and treatment. From BMC paper May 2013, combining figs 1 and 2

Health Care Emergency Patient Flow Work ABM Regional Services Clinical Care

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

Health Care Clinical Care Decision Making Judgment Learning Behavior Primary Care