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Decision Making

Outpatient Clinics Patient Flow

Keming Wang
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

  • 2 years 2 months ago

Dynamics in Action

Geoff McDonnell
​Book (large pdf) by Alicia Juarrero subtitled intentional behavior as a complex system. Behaviour is action and change in the world, consisting of the external, mental and social world. Human action is intentional, meaningful  and hopefully effective. Behaviours can be:
Reactive: sense and respond
Adaptive: anticipate and learn
Generative: innovate and transform.
Which models help produce effective action?

Cliinical Care Decision Making Behavior Complexity Causation Effective Action

  • 3 weeks 6 days ago

Can decisions based on META-VALUES improve outcomes?

Hanns-Jürgen Hodann

Fritjof Capra said that from a systems perspective, ethical behavior is always related to community; it is behaviour for the common good. Using this perspective, I would define Meta-Values as those values that promote the well-being of human beings and safeguard the biosphere on which that well-being ultimately depends.  Considering meta-values as an overriding criteria and rejecting an automatic acceptance the narrow options offered by doctrines and ideologies provides a much larger choice on which to base decisions.  Doctrines and ideologies could then serve to provide explanations, views of how the world works, that could be used if found appropriate in a particular situation -  but  viewed from an agnostic stance and not from a quasi religious belief in their truth. As Donella Meadows once said, 'No paradigm is true'. Actions based on aspects of  doctrinal beliefs that are false are very likely to lead to unintended negative consequences.  Can carefully considered decisions based on Meta-Values avoid most of these negative side effects? The CLD shows the dynamic that could be at work if this assumption is true. 

Ethics Decision Making

  • 4 months 2 weeks ago

Action-Oriented Problem Solving Dynamics

Geoff McDonnell

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 Clinical Care Action

  • 3 years 7 months ago

Clinical Judgment Structure

Geoff McDonnell
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 Learning Behavior

  • 1 year 1 week ago