Festinger's theory of cognitive dissonance represented in feedback loops, relevant to defensive behaviours, goal conflict in PCT and mental health  From p256 Fig 4.23 of George Richardson (1991) Book Feedback Thought in Social Science and Systems Theory,. Book reviewed here 

Fig 1.1 p19-22 Robert A Greenes Ed (2007) Clinical Decision Support:The Road Ahead Elsevier

Fritjof Capra said that from a systems perspective, ethical behavior is always related to community; it is behaviour for the common good. Using this perspective, I would define Meta-Values as those values that promote the well-being of human beings and safeguard the biosphere on which that well-being ultimately depends.  Considering meta-values as an overriding criteria and rejecting an automatic acceptance the narrow options offered by doctrines and ideologies provides a much larger choice on which to base decisions.  Doctrines and ideologies could then serve to provide explanations, views of how the world works, that could be used if found appropriate in a particular situation -  but  viewed from an agnostic stance and not from a quasi religious belief in their truth. As Donella Meadows once said, 'No paradigm is true'. Actions based on aspects of  doctrinal beliefs that are false are very likely to lead to unintended negative consequences.  Can carefully considered decisions based on Meta-Values avoid most of these negative side effects? The CLD shows the dynamic that could be at work if this assumption is true. 

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

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

Linked concept version of Tanner's Clinical Judgment Model

A model of the ladder of inference which shows how we short circuit reality based on the assumptions and beliefs we develop IM-351. Combined with the cyclical scientific process described by Gary An.

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

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

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

Stock Flow  Rich picture version of Tanner's Clinical Judgment Model after simulation

Simplified 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. Simplified arrow version of #828

Clone of IM-806 modified to integrate AnyLogic Real world, Model World with Van de Ven Engaged Scholarship and Land Use Modelling approaches. See also Complex Decision Technologies IM

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

Clone of IM-806 modified to integrate AnyLogic Realworld, Model World with Van de Ven Engaged Scholarship and LAnd Use Modelling approaches. See also Complex Decision Technologies IM

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