Double loop version of IM-8908 Based on 1990 SDR Article. Control systems act to make their own input match internal standards or reference signals. Competent control systems create illusions of stimulus response causality. Stimulus-response theory can approximate the relationship between disturbance and action, but it can't predict the consequences of behavior. These consequences are maintained despite disturbances. See also Double loop learning and Nurse Thinking Insights. See also IM-9273 for DLL LAIR model
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