This is a launching pad for patient flow insights for flows through the emergency department and hospital, including the broader community context. It also includes links to other insights relevant to ED flow improvement.
Clone of Patient flows ED and Beyond
Causal Loop Diagram of the Dynamics of Emergency Department Crowding Initial View from the waiting room
Clone of Emergency Department Simple Wait View CLD 1
Extension of IM-7981 with dynamics of daily ward discharges and did not waits. For an adjusted bed capacity stock see IM-14144.For backlog and services see IM-8382
Clone of Hospital Emergency and Elective Admission Interaction Simulation 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)
Clone of Confounding Interventions and Indirect Effects of the Four Hour Rule
Dynamics of Emergency Room Crowding with treatment spaces. Here we investigate the effect of constrained spaces and ignore any changes in treatment time or staffing effects. Many of the consequences occur before treatment with potential arrivals being turned away and arrivals leaving without being treated.
Clone of Emergency Room Patient Flow Model 2 with Treatment Spaces
Extension of IM-7981 with dynamics of daily ward discharges and did not waits. For an adjusted bed capacity stock see IM-14144.For backlog and services see IM-8382
Clone of Hospital Emergency and Elective Admission Interaction Simulation
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
Clone of Story of ED Flows without Separate Areas
Causal loop diagram of the dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. From
Lane, David C. and Monefeldt, C. and Rosenhead, Jonathan (2000) Looking in the wrong place for healthcare improvements: a system dynamics study of an accident and emergency department. Journal of the Operational Research Society, 51 (5). pp. 518-531. ISSN 0160-5682
See IM-7981 for Simulation Model
Clone of Hospital Emergency and Elective Admission Interaction CLD
Causal loop diagram of the dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. From
Lane, David C. and Monefeldt, C. and Rosenhead, Jonathan (2000) Looking in the wrong place for healthcare improvements: a system dynamics study of an accident and emergency department. Journal of the Operational Research Society, 51 (5). pp. 518-531. ISSN 0160-5682
See IM-7981 for Simulation Model
Clone of Hospital Emergency and Elective Admission Interaction CLD
WIP stock flow map See also ED Presentation Choices Map IM-6072
Emergency Care Paramedic
Ambulance Priority Dispatch
Dynamics of Emergency Room Crowding with treatment spaces. Here we investigate the effect of constrained spaces and ignore any changes in treatment time or staffing effects. Many of the consequences occur before treatment with potential arrivals being turned away and arrivals leaving without being treated.
Clone of Emergency Room Patient Flow Model 2 with Treatment Spaces
Backup of IM-11079 before shared editing for merging storytelling. 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
Clone of ED Flows without Separate Areas
Simulation model of the WIP Conceptual map IM-7671 of initial scope of the effects of the ED 4 hour rule based on June WA Teleconference and IM-8221. See also the conceptual maps of addition of indirect effects at IM-7775 and the potential wider context map in IM-6167
Clone of Initial Simulation Model for NEAT 4 hour rule Project
WIP ED Boarding NWH - Days
A Medical Imaging View of Patient Flows through ED Imaging Workup. See IM-375 for an extended map
Clone of ED-Imaging Patient Flow 1
Simulation model of the WIP Conceptual map IM-7671 of initial scope of the effects of the ED 4 hour rule based on June WA Teleconference and IM-8221. See also the conceptual maps of addition of indirect effects at IM-7775 and the potential wider context map in IM-6167
Clone of Initial Simulation Model for NEAT 4 hour rule Project
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.
Clone of ED Flows with Acute and FastTrack Areas
Simulation model of the WIP Conceptual map IM-7671 of initial scope of the effects of the ED 4 hour rule based on June WA Teleconference and IM-8221. See also the conceptual maps of addition of indirect effects at IM-7775 and the potential wider context map in IM-6167
Clone of Initial Simulation Model for NEAT 4 hour rule Project
Rich picture version of published simple model representation described as a capacitated processing model, modified to separate Patient Flow from workflow.
Clone of ED Resilience SD rich picture
Learning how to use insight maker
Emergency department model
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
Clone of Emergency Department Simplest Wait View 1
Causal loop diagram of the dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. From
Lane, David C. and Monefeldt, C. and Rosenhead, Jonathan (2000) Looking in the wrong place for healthcare improvements: a system dynamics study of an accident and emergency department. Journal of the Operational Research Society, 51 (5). pp. 518-531. ISSN 0160-5682
See IM-7981 for Simulation Model
Clone of Hospital Emergency and Elective Admission Interaction CLD
Dynamics of Emergency Room Crowding with treatment spaces and boarders waiting for ward beds (access block if the wait is too long).
Clone of Clone of Emergency Department Patient Flow Model 3 with Boarders
