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
Clone of Continuity of care
Physician agents interacting with delegate agents for emergency department assessment diagnosis and treatment. From BMC paper May 2013, combining figs 1 and 2
Clone of ED Physician Delegation Hybrid Model
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).
Authors: Ashish Taneja, Keming Wang and Daniel Wong
Clone of Outpatient Clinics Patient Flow
Rich picture 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
Clone of Digital Literacy & Electronic Healthcare Record Integration
Rich picture 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
Digital Literacy & Electronic Healthcare Record Integration
WIP Reviewing past work on a dynamic computational version of clinical reasoning and judgment
Dynamic Clinical Decision Making
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
Clone of Clinical Process with Patient States
Diagram 18 from From Gerrit Van Wyk's MEDICINE AND MEDICAL PROCESS AS A LEARNING SYSTEM http://systems-thinking.ca/myfiles/MPhil%20Dissertation.pdf
Patient physician interaction
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.
See also Thinking Like a Nurse IM-703 and Ladder of Inference Assumptions IM-351 and IM-50413 to show diagnostic detail
Clinical Judgement Structure
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).
Clone of Outpatient Clinics Patient Flow
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
Clone of Clone of ED Flows without Separate Areas
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.
Clone of Outpatient Clinics Patient Flow
Extension of IM-1401 to clinical judgments of risk and decisions to act See medical decision making 2016 article abstract
Clone of Bifocal Brunswik Lens Model
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.
Clone of Outpatient Clinics Patient Flow
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
Clone of Clinical Process with Patient and Professional States
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
Clinical Process Workflow
Backup of IM-11079 before shared editing for merging storytelling. 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
Clone of ED Flows without Separate Areas
WIP for Continuity of care ISO From Wikipedia Initial Insight Representation from ContSys
Patient statechart split off at
IM-4010
Clone of Clinical Process Overview
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
Clone of Clinical Process with Patient and Professional States
Rich picture version of Causal loop diagram based on Jack Homer's paper Worker burnout: a dynamic model with implications for prevention and control System Dynamics Review 1985 1(1)42-62 See IM-333 for the Simulation model and IM-2178 for a related Causal Loop Diagram of Project Turnover
Clone of Burnout Dynamics CLD rich pic
Rich picture version of Causal loop diagram based on Jack Homer's paper Worker burnout: a dynamic model with implications for prevention and control System Dynamics Review 1985 1(1)42-62 See IM-333 for the Simulation model and IM-2178 for a related Causal Loop Diagram of Project Turnover
Clone of Burnout Dynamics CLD rich pic
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
Clone of Story of ED Flows without Separate Areas
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.
Clone of Outpatient Clinics Patient Flow
Potential Diagnostic Error flows based on Schiff's Diagnostic Error Categories
Clone of Diagnostic Error Flows