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

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

From Gooch 2011 article JAMIA  Computerization of workflows, guidelines, and care pathways: a review of implementation challenges for process-oriented health information systems  Relevant to Learning insight and Problem Knowledge Coupler insight 

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

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

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

Examples of macroanalysis relevant to representing causal mechanisms linking genes to diseases from darden2018 MecCog article and 2017 Product to Process article

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

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

Linked concept version of Tanner's Clinical Judgment Model used as a scaffolding to start modeling managing the deteriorating patient.

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.

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

Linked concept version of Tanner's Clinical Judgment Model

See reference in diagram notes. WIP for Environment part of primary care regional model

WIP example of Services oriented multiscale computable narrative synthesis focussed on Coping carefully with diabetes

A simple SD model ​From alonge2017 health policy and planning article

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

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.

Extension of IM-1401 to clinical judgments of risk and decisions to act  See medical decision making 2016 article abstract

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

Summary of Eric Topol's 2019 book Deep Medicine   How Artificial Intelligence Can Make Healthcare Human Again

From A Philosophical Basis of Medical Practice Toward a Philosophy and Ethic of the Healing Professions Edmund D Pellegrino David C Thomasma OUP Oxford 1981 Ch6 The Anatomy of Clinical Judgments p119-152 Note judgments have consequences of action, decisions can separate out the knowledge used. 

WIP Reviewing past work on a dynamic computational version of clinical reasoning and judgment