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

This is a high level system dynamics model which is built to determine the dynamic relationships of the FSA and Followups capacity. Therefore, it can help clinicians to find out the optimistic method in order to reduce the waiting list. At past clinicians were seeing more FSA patients, however, after few months, the followups patients overwhelmed the clinics. Therefore waiting list has been built up again. By running this model, clinicians can find out the balanced leverage point(s). New Model has been developed, this is a very draft model.

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

Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305

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. The Master Version of this, with the story added is at IM-11936 Resplit into 2 areas at IM-15023

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

From Adapting ‘Agility’ to Healthcare Service Delivery, by Tom Rust, Khalid Saeed, Isa Bar-On, Oleg Pavlov Paper from July 2013 System dynamics Conference Cambridge MA and also 2012 Conference paper  Could be extended by adding dynamics described in going solid insight

WIP for Effects of Senior Staff Weekend Rostering on ED Flows. Two areas Map simplified later to no specific areas Simulation in IM-11079

A work in progress model for ED hourly arrival flows based on reported statistics by triage category with individual triage categories dis-aggregated using vectors. Based on a hospital performance report from  http://www.bhi.nsw.gov.au/publications/hospital_quarterly_3 

Split of IM-2166

Simplest ED Model for Weekend  ED Performance with 1 ED area IM-11079  Ward net discharges are extended with Ward and Waitlist inflow and outflow details (informed by IM-7981) WIP

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.  

WIP Patient Flow improvement strategies for a City Hospital with 3 years historical data and two year planning horizon. Built after a Generic Teaching Hospital Model IM-10346 A simplified stock flow map is at IM-399

Extension of IM-14124 with an adjusted bed capacity stock. For backlog and services see IM-8382

See reference in diagram notes. WIP for Environment part of primary care regional model. GP centric calibration by JPS at IM-14117 See also IM-3126 for Regional Health Service Use Context

A stock flow structure used to investigate interventions to improve the monthly patterns of patient flows through hospitals. Simplest structure to explain IM-10386 Expanded in IM-13966

WIP Simplified Patient Flow map of features in a SD simulation model of performance of a City Hospital over 5 years. Built after a Regional 20 year planning model IM-10290 The simulation is a large ithink model built by Mark Heffernan

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)

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

Expansion of IM-399 A stock flow structure through hospitals with high value activities linked by transitions. Based on the project described by IM-10386 Compare with IM-622 Context

Simple exposition of going solid article by Cook and Rasmussen 2005 after reading p156 section 4.1 of Modelling in Healthcare by CSMG See also Resilience Cs IM

Hourly arrival pattern added to IM-663 A work in progress model for ED daily average flows based on reported statistics by triage category with all triage categories aggregated. Based on a hospital performance report from  http://www.bhi.nsw.gov.au/publications/hospital_quarterly_3 

See IM-8221 for Triage splits WIP

A general model of flows between hospital and the community. An expanded version is at IM-623

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