Rich picture version of causal loop diagram for medication errors, showing the importance of reporting, analyzing and fixing knowledge and process errors. Medication errors will tend to grow due to the use of more medications in more complex patients. This is exacerbated by the loss of staff knowled
Rich picture version of causal loop diagram for medication errors, showing the importance of reporting, analyzing and fixing knowledge and process errors. Medication errors will tend to grow due to the use of more medications in more complex patients. This is exacerbated by the loss of staff knowledge by turnover and goal erosion in places with harmful errors.
 The dynamics of methadone treatment for intravenous opioid users. The major flows in this study were people cycling between being on methadone and off treatment. This is a minimal model of the insights from the more detailed modelling project described in   Monograph pdf

The dynamics of methadone treatment for intravenous opioid users. The major flows in this study were people cycling between being on methadone and off treatment. This is a minimal model of the insights from the more detailed modelling project described in  Monograph pdf

 Linked concept version of Tanner's Clinical Judgment Model used as a scaffolding to start modeling managing the deteriorating patient.

Linked concept version of Tanner's Clinical Judgment Model used as a scaffolding to start modeling managing the deteriorating patient.

A simple generic rich picture view of interactions among concerned people with needs services and resources and abilities (including learning), which can be used as a pattern for many individual health care insights.
A simple generic rich picture view of interactions among concerned people with needs services and resources and abilities (including learning), which can be used as a pattern for many individual health care insights.
 From  Werner Ulrich 's JORS Articles Operational research and critical systems thinking – an integrated perspective.  Part 1 : OR as applied systems thinking.  Journal of the Operational Research Societ y advance online publication (14 December 2011). and  Part 2  :OR as argumentative practice.

From Werner Ulrich's JORS Articles Operational research and critical systems thinking – an integrated perspective. Part 1: OR as applied systems thinking. Journal of the Operational Research Society advance online publication (14 December 2011). and Part 2 :OR as argumentative practice.

 Attempting to outdo an opponent leads to escalation. A weaker response leads to De-escalation. A slightly more complex  form of  Insight 972 .  ​Z508 p36-38 System Zoo 3 by Hartmut Bossel.

Attempting to outdo an opponent leads to escalation. A weaker response leads to De-escalation. A slightly more complex  form of Insight 972.  ​Z508 p36-38 System Zoo 3 by Hartmut Bossel.

This simple high level model shows the basic feedback balancing loop for health services. There are many other loops and component interactions at multiple scales that add to the complexity See areas of  expenditure IM  for some component splits and  hospital value IM  for some service linkages
This simple high level model shows the basic feedback balancing loop for health services. There are many other loops and component interactions at multiple scales that add to the complexity See areas of expenditure IM for some component splits and hospital value IM for some service linkages
 
 Adapted from Fig 6.1 p.232 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

Adapted from Fig 6.1 p.232 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

 This models the progressive decline of the ability for self-reliance and the growing dependence on outside help. ​Z508 p39-42 System Zoo 3 by Hartmut Bossel. Strong outside help causes a collapse of self-help capacity. Weak outside help produces a stable combination of wellbeing and self-help capac

This models the progressive decline of the ability for self-reliance and the growing dependence on outside help. ​Z508 p39-42 System Zoo 3 by Hartmut Bossel. Strong outside help causes a collapse of self-help capacity. Weak outside help produces a stable combination of wellbeing and self-help capacity.

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

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

Health Care, CHC Assessment process
Health Care, CHC Assessment process
This is a first attempt at identifying the actors that may need to be involved in the development of the model - at one stage or other.
This is a first attempt at identifying the actors that may need to be involved in the development of the model - at one stage or other.
Clone of  IM-24317  for adding other funding insights Im-633 and 636 and contrasting economic drivers of mental health with other health care based on  JHPPL David Mechanic 2016 issue  articles, esp  Glied article  (paywalled) Backed up generic version at  IM-59166
Clone of IM-24317 for adding other funding insights Im-633 and 636 and contrasting economic drivers of mental health with other health care based on JHPPL David Mechanic 2016 issue articles, esp Glied article (paywalled) Backed up generic version at IM-59166
 Interacting nested fast and slow adaptive cycles from  Panarchy Book   ,Resilience thinking Book Brian Walker and David Salt Island Press 2006 and the  http://www.resalliance.org/  Website, See also What is Panarchy at  http://bit.ly/H9RFkL

Interacting nested fast and slow adaptive cycles from Panarchy Book  ,Resilience thinking Book Brian Walker and David Salt Island Press 2006 and the http://www.resalliance.org/ Website, See also What is Panarchy at http://bit.ly/H9RFkL

7 months ago
 Here we have a basic SEIR model and we will investigate what changes would be appropriate for modelling the 2019 Coronavirus.  We add simple containment meassures that affect two paramenters, the Susceptible population and the rate to become infected.  The initial parametrization is based on the su

Here we have a basic SEIR model and we will investigate what changes would be appropriate for modelling the 2019 Coronavirus.

We add simple containment meassures that affect two paramenters, the Susceptible population and the rate to become infected.

The initial parametrization is based on the suggested current data. The initial population is set for Catalonia.

The questions that we want to answer in this kind of models are not the shape of the curves, that are almost known from the beginning, but, when this happens, and the amplitude of the shapes. This is crucial, since in the current circumstance implies the collapse of certain resources, not only healthcare.

The validation process hence becomes critical, and allows to estimate the different parameters of the model from the data we obtain. This simulation approach allows to obtain somethings that is crucial to make decisions, the causality. We can infer this from the assumptions that are implicit on the model, and from it we can make decisions to improve the system behavior.

Yes, simulation works with causality and Flows diagrams is one of the techniques we have to draw it graphically, but is not the only one. On https://sdlps.com/projects/documentation/1009 you can review soon the same model but represented in Specification and Description Language.

Summary of Zimmerman2013  article  (paywalled) Habit, custom, and power: A multi-level theory of population health. Also mapped to COM-B. See also  Dynamics in action IM ,  PCT Double Loop Learning IM  and  Structure Agency framework IM
Summary of Zimmerman2013 article (paywalled) Habit, custom, and power: A multi-level theory of population health. Also mapped to COM-B. See also Dynamics in action IMPCT Double Loop Learning IM and Structure Agency framework IM
7 months ago
Expansion of  IM-24317  for adding other funding insights Im-633 and 636 . See also  IM-57110  contrasting economic drivers of mental health with other health care based on JHPPL David Mechanic 2016 issue articles, esp Glied
Expansion of IM-24317 for adding other funding insights Im-633 and 636 . See also IM-57110 contrasting economic drivers of mental health with other health care based on JHPPL David Mechanic 2016 issue articles, esp Glied
Clone of IM-91683 from jacqui and vincy Summary of paper map produced by participants at the compelling case for prevention workshop 6 june 2017. Current premier version for vincy to update
Clone of IM-91683 from jacqui and vincy Summary of paper map produced by participants at the compelling case for prevention workshop 6 june 2017. Current premier version for vincy to update