This is a launchpad 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.

Health Care Patient Flow Emergency

A generic stock and flow map of Cancer Screening and Treatment. See also IM-1525 for a specific Prostate PSA Map and Reference  See IM-107014 for a more detailed prostate cancer specific map 

Health Care Cancer Screening Services Clinical Care Decision Making

From the Plausibility of life book esp p 220-227  Constraints that deconstrain

Health Care Resilience Evolution Bowtie Architecture

From Peter Lacey's Whole Systems Partnership UK NHS ithink model with uncertainty added

Health Care Patient Flow End Of Life

Complex Systems Science and Engineering Methods applied to Health Care Delivery from NAP Reports on Building a Better Delivery System: A New Engineering/Health Care Partnership and Engineering a Learning Health Care System 

See also IM Complex Decision Technologies

Health Care EHealth Complexity Systems Science

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

Health Care Resilience Patient Flow Emergency Work

A simplified dynamic model, adapted from Engineering perspectives on healthcare delivery: Can we afford technological innovation in healthcare? Rouse, William B Systems Research and Behavioral Science 2009 Vol 26 (5) p573-582 abstract  Developed by Mark Heffernan. Addition of learning curve effects IM-614 to Insight 435

Health Care Technology Learning EHealth

WIP based on Health Research Policy and Systems Paper

Health Care Politics Resources Allocation

Suicide Prevention initial version see revised version

Health Care Mental Health Suicide

Cloned from Ash Moran's Insight 1256 Systems and Models (Hartmut Bossel) Figure 2.16. Notation matches the Appendix of Marten Scheffer's 2009 Book Critical Transitions in Nature and Society p329 

Ecology Health Care Population

This is a stock flow map representation From Evans RG and Stoddardt GL  1990 paper Soc Sci Med 31(12)1347-63 , also published in a book by Evans, Barer and Marmor, Why are some people healthy and others not?: The determinants of population health See IM-425 for a simulation.

Health Care Health Vs Health Care Thermostat

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

Health Care Clinical Care Decision Making Nursing

An infinite number of mathematicians walk into a bar. The first one tells the bartender he wants a beer. The second one says he wants half a beer. The third one says he wants a fourth of a beer. The bartender puts two beers on the bar and says “You guys need to learn your limits.” From Wild About Math

Health Care Mathematics STILE

A simple error chain of medication errors for patients in hospital. Serious medication errors in inpatients with drug orders sometimes result in Adverse Drug Events (ADE) and Deaths. See next IM-646

Health Care Medicines Safety Clinical Care

Stock Flow Map of MIT SDM Seminar Presentation on Improving an Eye Clinic in India. Compare with IM-673 Extended to include time pressures within the clinical encounter in IM-85141

Health Care Services Clinical Care Work Clinic

Coping but not coping in health and social care: masking the reality of running organisations beyond safe design capacity. From Eric Wolstenholme Syst. Dyn. Rev. 23, 371–389, (2007) abstract. See also IM-1010 for unfolding CLD version. This is a cascade of swamping structures see IM-1769

Health Care Patient Flow Hospital

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

Health Care Decision Making Performance Intent

Clone of JPS IM-14117 See reference in diagram notes. WIP for Environment part of primary care regional model

Health Care Demand Regional Services Clinical Care Patient Flow

Causal Loop Diagram of the Dynamics of Emergency Department Crowding Initial View from the waiting room 

Health Care Patient Flow Emergency

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

Health Care Patient Flow Emergency

Adapted from Fig 5.1 p.186 of the Book: James A. Forte ( 2007), Human Behavior and The Social Environment: Models, Metaphors and Maps for Applying Theoretical Perspectives to Practice  Thomson Brooks/Cole Belmont ISBN 0-495-00659-9

Health Care Social

From Daniel H Kim (1993) Sloan Management Revew article 

Health Care Organisational Learning Learning Management Organization Built Environment

WIP example of Services oriented multiscale computable narrative synthesis focussed on Coping carefully with diabetes

Health Care Regional Clinical Care Primary Care Body & Self Services Chronic Disease Diabetes Multiscale

SIR model with herd immunity - Metrics by Guy Laekman

A Susceptible-Infected-Recovered (SIR) disease model with herd immunity

Disease Health Care Health