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

Extension of IM-14124 with an adjusted bed capacity stock. For backlog and services see IM-8382

A Medical Imaging View of Patient Flows through ED Imaging Workup. See IM-375 for an extended map

Emergency care patient flows IM-6072 used as context to add confounders and potential unintended effects.

Model of Buffer Margin from Robert Wears thesis WIP

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

Click +View Story on Bottom Left to unfold his wide view of Emergency care patient flows IM-6072 used as context to add confounders and potential indirect effects. See also IM-1010 for hospital fixes that fail, wiki for general Systems Archetypes and wiki for Leverage Points (There is also a health leverage points WIP wiki page)

Based on ED RCA Report Taxonomy and Checklist Form

Dynamics of Emergency Room Crowding a simple uncalibrated simulation which includes Wards and some simple internal ED feedback effects

WIP based on Choice modelling and Mark Paich's Book and NZ work focus on Pre-ED Presentation choices, with ED and Post-ED care. Extended based on IM-998 4 hour rule context. Can be replicated to add interventions, as in IM-6167. See IM-9178 for Addition of After hours 'as is' and 'to be' flow models for Medicare Locals

Extension of IM-14124 with an adjusted bed capacity stock. For backlog and services see IM-8382

Hourly arrival pattern added to IM-663 A work in progress model for ED daily average flows based on reported statistics by triage category with all triage categories aggregated. Based on a hospital performance report from  http://www.bhi.nsw.gov.au/publications/hospital_quarterly_3 

See IM-8221 for Triage splits WIP

A Rich Picture Story representation of ED overcrowding based on Using system dynamics principles for conceptual modelling of publicly funded hospitals] by HJ Wong et al Journal of the Operational Research Society 63, 79-88 (January 2012) | doi:10.1057/jors.2010.164 Click the +view story on the bottom left

Dynamics of Emergency Department Crowding Initial Simplest Simulation of the View from the waiting room. Start of a simple introductory series which proceeds to IM-338  A simple CLD is at IM-340

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

Simulation model version of IM-398 CLD (which lists the reference).The dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. Here Bed Capacity is a fixed parameter. For an adjusted bed capacity stock see IM-8862.For backlog and services see IM-8382

Based on combining IM-7670  with IM-7671 (WIP based on June WA Teleconference) plus indirect effects

WIP Ideas. Replaced by IM-14124 and IM-14414 Ideas here focus on Additional adjusted stock of Bed Capacity version of IM-7981 .The dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. 

Patient flow through ED at the end of life

Simulation model version of IM-398 CLD (which lists the reference).The dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. Here Bed Capacity is a fixed parameter. For an adjusted bed capacity stock see IM-8862.For backlog and services see IM-8382

Emergency Room overcrowding dynamics one stock model

NSW Health 2012 pdf Document from Schematic to Stock and Flow Map

WIP for Whole of Hospital Program

A work in progress model for ED daily average flows based on reported statistics by triage category with all triage categories aggregated See IM-663 for a more annotated version