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

NEAT Project WIP Narrow view of ED only. See IM-6167 for the widest view and IM-6913 for Task Interactions within the ED

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)

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

Rich picture version of published simple model representation described as a capacitated processing model, modified to separate Patient Flow from workflow.

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

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

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

Dynamics of Emergency Room Crowding with treatment spaces and boarders waiting for ward beds (access block if the wait is too long).

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

WIP for Project

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

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.  

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 discharge dynamics see IM-14124. For an adjusted bed capacity stock see IM-14144.For backlog and services see IM-8382

I clearly don't know what I am doing here...

Dynamics of Emergency Room Crowding with treatment spaces and boarders waiting for ward beds (access block if the wait is too long).

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

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.  

A work in progress based on GF

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

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.

Dynamics of Emergency Room Crowding with treatment spaces and boarders waiting for ward beds (access block if the wait is too long).

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