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
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
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
Clone of ED Flows extended to Ward and Waitlist Flows
WIP for Continuity of care ISO Old Version From Wikipedia Replaced by IM-4008
Clone of Clinical Process eHealth view
WIP for Continuity of care ISO From Wikipedia Initial Insight Representation from ContSys
IM-4008 with split off patient statechart See
IM-2846 for Agent with infectious disease and
IM-4031 for additional professional statechart
Clinical Process with Patient States
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
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
Clone of Implementing Chronic Care Management
Linked concept version of Tanner's Clinical Judgment Model used as a scaffolding to start modeling managing the deteriorating patient.
Nurse thinking and the deteriorating patient
Test Sensitivity and Specificity see ROC wikipedia and Tom Fawcett's 2006 article introduction to ROC Analysis, Can be linked to Brunswik Lens IM-1401
Test ROC Curves
Linked concept version of Tanner's Clinical Judgment Model
Thinking like a nurse
WIP Reviewing past work on a dynamic computational version of clinical reasoning and judgment
Dynamic Clinical Decision Making
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
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
WIP example of Services oriented multiscale computable narrative synthesis focussed on Coping carefully with diabetes
Clone of Diabetes Care
Extension of IM-13989 to include the tension between disease guideline checklist and holistic medicine within the clinical encounter in primary care See also moments of truth IM-2275
Clinical Encounter Time Pressures
Published (Robert Wears) simple model representation described as a capacitated processing model, modified to separate Patient Flow from workflow. See also IM-8382 for more recent model
ED Resilience SD
WIP detail of ED Clinical processes with focus on Stabilising and Deciding how to Admit or Discharge safely, the Disposition decision. For more aggregated views see IM-8237 for flows and IM-6913 for Physician Delegate Agent Interactions
ED Clinical Care Processes
Broad and detailed Linked concept version of Tanner's Clinical Judgment Model, with the addition of clinical reasoning cycle concepts from T Levett-Jones et al Nurse Education Today 30 (2010) 515-520 and Kathie Lasater (2007) Clinical Judgment Development: Using Simulation to Create an Assessment Rubric. Journal of Nursing Education 46(11)p 496-503
Thinking like a nurse concept map
Extension of IM-1401 to clinical judgments of risk and decisions to act See medical decision making 2016 article abstract
Bifocal Brunswik Lens Model
Summary of Eric Topol's 2019 book Deep Medicine How Artificial Intelligence Can Make Healthcare Human Again
Deep Medicine
Jack Homer's model via ithink and Mark Heffernan. From Jack's paper Worker burnout: a dynamic model with implications for prevention and control System Dynamics Review 1985 1(1)42-62. See IM-641 for the Causal loop diagram
Burnout Dynamics
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
Clone of Action-Oriented Problem Solving Dynamics
Continuity of care includes continuity of information, management (ends and means) and meaningful care relationships. This includes managing inevitable changes. This conceptual information overview is Based on Contsys ehealth and workflow ISO CD 13940 (E) UML Class DIagram See IM-4008 for clinical process model
Continuity of care
