Insight diagram
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
Story of ED Flows without Separate Areas
Insight diagram
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
Care Service Capacity Adjustment
Insight diagram
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.
Outpatient Clinics Patient Flow
Insight diagram
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
ED Flows without Separate Areas
Insight diagram
Clone of IM-11079, incorporating Mark Heffernan's SImple SD ithink v10 Model of Hospital Patient Flow done for particle filtering in September 2014
Patient Flows ED and Wards
Insight diagram

Causal loop diagram unfolding story based on Jack  Homer's paper Worker burnout: a dynamic model See IM-333 for the Simulation model and IM-2178 for a related Causal Loop Diagram of Project Turnover

 

Burnout Dynamics CLD rich pic
17 12 months ago
Insight diagram

Rich picture CLD of Tradeoffs in Responses to Work Pressure in the Service Industry by Rogelio Oliva California Mgt Review 2001 43(4) 26-43 paper


Responses to Service Work Pressure
Insight diagram

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
Insight diagram
From David Rees PhD dissertation "Developing a Theory of Implementation for Better Chronic Health Management" Health Services Research Centre, Victoria University of Wellington, New Zealand
Implementing Chronic Care Management
Insight diagram

From Rudolph JW Morrison JB and Carroll JS (2009) The Dynamics of Action-Oriented Problem Solving: Linking Interpretation and Choice. Academy of Management Review 34 (4) p733-756 Available online . This paper won the Forrester Award for 2012 and the presentation talk video is available. The presentation  paper abstract is available in System Dynamics Review 2013 here

Action-Oriented Problem Solving Dynamics
Insight diagram

Based on Ransohoff DF, McNaughton Collins M, Fowler FJ. Why is prostate cancer screening so common when the evidence is so uncertain? A system without negative feedback. Am J Med. 2002;113:663-7. See IM-15991 for a generic Stock Flow Map

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

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 

Cancer Stock Flow Map
Insight diagram
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
ED Flows extended to Ward and Waitlist Flows
Insight diagram
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
Insight diagram
Clone of Clone 4of IM 27348, of JPS IM-27150 of original JPS IM-14117 See reference in diagram notes. WIP for Environment part of primary care regional model
Clone 5 The Ecology of Medical Care
Insight diagram

WIP for Continuity of care ISO From Wikipedia Initial Insight Representation from ContSys

IM-4008 with split off patient and professional statecharts See IM-2846 for Agent with infectious disease and IM-6913 for ED Physician INteraction
Clinical Process with Patient and Professional States
Insight diagram

Jack Homer's model via ithink and Mark Heffernan.  From Jack's SDR  paper Worker burnout: a dynamic model  See IM-641 for the Causal loop diagram

Burnout Dynamics
7 12 months ago
Insight diagram
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.
ED Flows with Acute and FastTrack Areas
Insight diagram
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
Insight diagram

WIP for Continuity of care ISO Old Version From Wikipedia Replaced by IM-4008

Clinical Process eHealth view
Insight diagram
WIP example of Services oriented multiscale computable narrative synthesis focussed on Coping carefully with diabetes
Diabetes Care
Insight diagram
Larry Weed's Medicine in Denial book : his view of health information to make a difference
Problem knowledge coupler
Insight diagram
See reference in diagram notes. WIP for Environment part of primary care regional model
Clone of The Ecology of Medical Care