WIP Reviewing past work on a dynamic computational version of clinical reasoning and judgment
Dynamic Clinical Decision Making
Overview of Myers Briggs mental preferences based on Jim Rogers MBTI Manual and Gifts Differing Book. Compare with Thinking feeling acting and interacting representation of human behaviour based on BPSD (dementia) work by Victor Vickland, PCT, Sapience and Gary Smith
Clone of Clone of Psychological MBTI Types
Test Sensitivity and Specificity see ROC wikipedia and Tom Fawcett's 2006 article introduction to ROC Analysis, Can be linked to Brunswik Lens IM-1401
Test ROC Curves
Fig 1.1 p19-22 Robert A Greenes Ed (2007) Clinical Decision Support:The Road Ahead Elsevier
Clinical Decision Support Cycles
From Brown and Heathcote's 2008 Paper on the simplest model of Choice ResponseTime , a Tutorial paper and a Workload capacity paper that estimates drift rate v for individuals with single and multiple targets. With start point variability.
Linear Ballistic Accumulator with start point variability
Some diagrams from the NDM 2019 Conference. See also Explaining explanation insight
The process of explaining
Rich picture 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
Thinking like a nurse rich pic
Linked concept version of Tanner's Clinical Judgment Model used as a scaffolding to start modeling managing the deteriorating patient.
Nurse thinking and the deteriorating patient
Linked concept version of Tanner's Clinical Judgment Model
Thinking like a nurse
Overview of choice modelling as part of value, effectiveness and motivation series of insights about wants, needs and demands related to health care (regional) model See also IM-4043
Service Choices
Rich Picture CLD from Yaman Barlas and Hakan Yasarcan (2008) A Comprehensive Model of Goal Dynamics in Organizations:Setting, Evaluation and Revision in Complex Decision Making Theory and Practice H. Qudrat-Ullah J.M. Spector P.I. Davidsen (Eds.) Springer 2008 available online paper
Goal Dynamics CLD
Extension of IM-1401 to clinical judgments of risk and decisions to act See medical decision making 2016 article abstract
Bifocal Brunswik Lens Model
Clone of IM-806 modified to integrate AnyLogic Realworld, Model World with Van de Ven Engaged Scholarship and LAnd Use Modelling approaches. See also Complex Decision Technologies IM
Clone of Real World and Model World
Some key diagrams from George Mobus' Sapience Book Draft esp Components of Sapience article
Wisdom, Sapience, Judgment and Decisions
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?
Clone of Dynamics in Action
From Walrave
ISDC2014 paper Counteracting the success trap in publically owned corporations. Similar to the ordinary (efficiency focussed) and dynamic capabilities (explore)
insight described by David Teece
See also evolution and brain control insight
Explore or Exploit
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
Clinical Judgement Structure
Summary of Buchanan 2008 AJPH article
Autonomy Paternalism and Justice: Ethics in Public Health
Hoffman and Klein IEEE Intelligent systems 2017-18 series of articles on decision making and computing, including macrocognition
1 theoretical foundations abstract
2 empirical foundations abstract
3 causal landscapes abstract
4 deep nets abstract
See also 2018 Gary Klein podcast and the process of explaining insight
Explaining Explanation
Examples of macroanalysis relevant to representing causal mechanisms linking genes to diseases from darden2018 MecCog article and 2017 Product to Process article
Mechanistic Reasoning from Genotype to Phenotype
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
Clone of Action-Oriented Problem Solving Dynamics
Overview of Myers Briggs mental preferences based on Jim Rogers MBTI Manual and Gifts Differing Book. Compare with Thinking feeling acting and interacting representation of human behaviour based on BPSD (dementia) work by Victor Vickland, PCT and Sapience
Clone of Psychological MBTI Types
Continuity of care includes continuity of information, management (ends and means) and meaningful care relationships. This includes managing inevitable changes. This conceptual information overview is Based on Contsys ehealth and workflow ISO CD 13940 (E) UML Class DIagram See IM-4008 for clinical process model
Continuity of care
Health Care Decisions Launchpad, showing Policy and Clinical Decisions using A Decision Ladder and Problem Knowledge coupling, supported by Digital Learning Infrastructure.
Health Care Decisions