Safety Models

These models and simulations have been tagged “Safety”.

WIP based on Emery Roe's 2013  book . See also Dynamics in Action  IM-3239  for more on behavior and The Art of the State  IM-11962  for more on Grid-Group Cultural Theory
Reliability Resilience Multiscale Decision Making Complexity Politics Safety Policy Management Performance Culture Behavior
WIP based on Emery Roe's 2013 book. See also Dynamics in Action IM-3239 for more on behavior and The Art of the State IM-11962 for more on Grid-Group Cultural Theory
Managing Mess
Geoff McDonnell
11 months ago
Addition of Incident Reporting and Prevention Interventions to a simple error chain of medication errors for patients in hospital IM-10113  
Health Care Clinical Care Safety Medicines

Addition of Incident Reporting and Prevention Interventions to a simple error chain of medication errors for patients in hospital IM-10113 

Medication error with incident reporting
Geoff McDonnell
Grid-Group Culture applied to Public Management WIP based on Christopher Hood's 1998 book. plus excerpts from Schwartz and Thompson's 1990 Book Divided we stand. See also Managing Mess IM-11581  and FourCultures Blog  and  Wikipedia Cultural Theory of Risk
Group Management Performance Behavior Culture Safety Resilience Grid Politics Reliability Policy
Grid-Group Culture applied to Public Management WIP based on Christopher Hood's 1998 book. plus excerpts from Schwartz and Thompson's 1990 Book Divided we stand. See also Managing Mess IM-11581 and FourCultures Blog and Wikipedia Cultural Theory of Risk
The Art of the State
Geoff McDonnell
11 months ago
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
Medicines Safety Informatics Performance Health Care Clinical Care
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.
Medication error CLD
Geoff McDonnell
From Margaret Stringfellow's PhD thesis from Nancy Leveson's Engineering a Safer World
Governance Health Care Performance Safety Control Health System

From Margaret Stringfellow's PhD thesis from Nancy Leveson's Engineering a Safer World

Process Control Structure
Geoff McDonnell
From PLOS One  Article  April 2012 Worni, M et al System Dynamics to Model the Unintended Consequences of Denying Payment for Venous Thromboembolism after Total Knee Arthroplasty
Safety Policy Funding Clinical Care Surgery Quality Performance Unintended Consequences Health Care
From PLOS One Article April 2012 Worni, M et al System Dynamics to Model the Unintended Consequences of Denying Payment for Venous Thromboembolism after Total Knee Arthroplasty
Payment Policy Unintended Consequences
Geoff McDonnell
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
Clinical Care Safety Medicines Health Care

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

Medication error inpatients 1
Geoff McDonnell
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
Patient Flow Resilience Safety Work Clinical Care Performance Services Health Care
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
Cost Quality Workload Dynamics
Geoff McDonnell
Potential Diagnostic Error flows based on Schiff's Diagnostic Error Categories
Clinical Care Health Care Decision Making Diagnosis Safety

Potential Diagnostic Error flows based on Schiff's Diagnostic Error Categories

Diagnostic Error Flows
Geoff McDonnell
WHO FBE WIP Hospitals Safe from Disasters
Health Care Hospital Resilience Safety Built Environment

WHO FBE WIP Hospitals Safe from Disasters

Hospital Safety Index
Geoff McDonnell
From Nancy Leveson Vioxx Recall Study in CH8  Engineering a Safer World  and Couturier's MIT ESD Thesis
Medicines Health Care Performance Safety
From Nancy Leveson Vioxx Recall Study in CH8 Engineering a Safer World and Couturier's MIT ESD Thesis
Prescribing and Drug Recall Pressures
Geoff McDonnell
Model describes influences different variables on Lessons Learned from Acc/Incidents to maximise "Learning from Incidents" so as to prevent accidents.
Lessons Learned Safety Lessons Learned Safety Incidents Accidents
Model describes influences different variables on Lessons Learned from Acc/Incidents to maximise "Learning from Incidents" so as to prevent accidents.
Story telling version of Learning from Incidents (LFI) FV
FRANK VERSCHUEREN
Model describes influences different variables on Lessons Learned from Acc/Incidents to maximise "Learning from Incidents" so as to prevent accidents.
Accidents Safety Incidents Lessons Learned Safety Lessons Learned
Model describes influences different variables on Lessons Learned from Acc/Incidents to maximise "Learning from Incidents" so as to prevent accidents.
Learning from Incidents (LFI) FV
FRANK VERSCHUEREN
Columbia loss dynamics from FIg 13.1 Nancy Leveson's Engineering a Safer World  Book
Performance Safety Engineering

Columbia loss dynamics from FIg 13.1 Nancy Leveson's Engineering a Safer World Book

Safety and Performance Pressures NASA
Geoff McDonnell
Any and every organization that performs tasks or activities at risk is a system with emergent behavior of a Quality & Safety Culture. There is never a zero state of culture, as every risk or potential risk is met with risk assessment and response through the interactions of the stakeholders. T
Culture Safety Risk Quality
Any and every organization that performs tasks or activities at risk is a system with emergent behavior of a Quality & Safety Culture. There is never a zero state of culture, as every risk or potential risk is met with risk assessment and response through the interactions of the stakeholders. This version extends the model for the Thinking Systemically Session of STIACP.
Clone of Quality & Safety Culture CLD Version 2
Bob Hardy
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
Informatics Clinical Care Medicines Health Care Safety
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.
Clone of Medication error CLD
hltay
Any and every organization that performs tasks or activities at risk is a system with emergent behavior of a Quality & Safety Culture. There is never a zero state of culture, as every risk or potential risk is met with risk assessment and response through the interactions of the stakeholders.
Culture Quality Risk Safety
Any and every organization that performs tasks or activities at risk is a system with emergent behavior of a Quality & Safety Culture. There is never a zero state of culture, as every risk or potential risk is met with risk assessment and response through the interactions of the stakeholders.
Quality & Safety Culture CLD
Bob Hardy
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 knowle
Informatics Safety Clinical Care Medicines Health Care

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.

Clone of Medication error CLD
AGG
Based on ED RCA Report Taxonomy and Checklist  Form
Emergency Safety Health Care Incident
Based on ED RCA Report Taxonomy and Checklist Form
ED Incident Concepts
Geoff McDonnell
Model describes influences different variables on Lessons Learned from Acc/Incidents to maximise "Learning from Incidents" so as to prevent accidents.
Safety Lessons Learned Safety Lessons Learned Accidents Incidents
Model describes influences different variables on Lessons Learned from Acc/Incidents to maximise "Learning from Incidents" so as to prevent accidents.
Model 170117 (3) Learning from Incidents (LFI) FV
FRANK VERSCHUEREN
Model describes influences different variables on Lessons Learned from Acc/Incidents to maximise "Learning from Incidents" so as to prevent accidents.
Safety Lessons Learned Lessons Learned Accidents Incidents Safety
Model describes influences different variables on Lessons Learned from Acc/Incidents to maximise "Learning from Incidents" so as to prevent accidents.
Clone of Learning from Incidents (LFI) 080114 FV
Big A
Model describes influences different variables on Lessons Learned from Acc/Incidents to maximise "Learning from Incidents" so as to prevent accidents.
Incidents Safety Lessons Learned Safety Lessons Learned Accidents
Model describes influences different variables on Lessons Learned from Acc/Incidents to maximise "Learning from Incidents" so as to prevent accidents.
Clone of Learning from Incidents (LFI) 080114 FV
Big A
Causality Circle
Safety
Causality Circle
Injuries and Safety
Jim Leemann
WIP based on Emery Roe's 2013 book. See also Dynamics in Action  IM-3239  for more on behavior and The Art of the State  IM-11962  for more on Grid-Group Cultural Theory
Policy Reliability Management Performance Behavior Politics Culture Safety Resilience Multiscale
WIP based on Emery Roe's 2013 book. See also Dynamics in Action IM-3239 for more on behavior and The Art of the State IM-11962 for more on Grid-Group Cultural Theory
Clone of Managing Mess
Roberto Forero