Concept map of patient flow through ED
ED Patient Flow Concept Map
WIP based on Choice modelling and Mark Paich's Book and NZ work focus on Pre-ED Presentation choices, with ED and Post-ED care. Extended based on IM-998 4 hour rule context. Can be replicated to add interventions, as in IM-6167. See IM-9178 for Addition of After hours 'as is' and 'to be' flow models for Medicare Locals
ED Presentation Choices Context
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
Extension of IM-14124 with an adjusted bed capacity stock. For backlog and services see IM-8382
Clone of Hospital Emergency and Elective Admission Interaction Simulation 3
A Medical Imaging View of Patient Flows through ED Imaging Workup. See IM-375 for an extended map
ED-Imaging Patient Flow 1
Emergency care patient flows IM-6072 used as context to add confounders and potential unintended effects.
Clone of Confounding Interventions and Unintended Effects of the Four Hour Rule
Model of Buffer Margin from Robert Wears thesis WIP
ED Work Resilience
Click +View Story on Bottom Left to unfold his wide view of Emergency care patient flows IM-6072 used as context to add confounders and potential indirect effects. See also IM-1010 for hospital fixes that fail, wiki for general Systems Archetypes and wiki for Leverage Points (There is also a health leverage points WIP wiki page)
Confounding Interventions and Indirect Effects of the Four Hour Rule
Based on ED RCA Report Taxonomy and Checklist Form
ED Incident Concepts
Physician agents interacting with delegate agents for emergency department assessment diagnosis and treatment. From BMC paper May 2013, combining figs 1 and 2
ED Physician Delegation Hybrid Model
Hourly arrival pattern added to IM-663 A work in progress model for ED daily average flows based on reported statistics by triage category with all triage categories aggregated. Based on a hospital performance report from http://www.bhi.nsw.gov.au/publications/hospital_quarterly_3
See IM-8221 for Triage splits WIP
ED flows by triage totals with hourly arrival
Extension of IM-14124 with an adjusted bed capacity stock. For backlog and services see IM-8382
Clone of Hospital Emergency and Elective Admission Interaction Simulation 3
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
A Rich Picture Story representation of ED overcrowding based on Using system dynamics principles for conceptual modelling of publicly funded hospitals] by HJ Wong et al Journal of the Operational Research Society 63, 79-88 (January 2012) | doi:10.1057/jors.2010.164 Click the +view story on the bottom left
ED Crowding Hospitals and Beyond Rich Pic
NSW Health 2012 pdf Document from Schematic to Stock and Flow Map
ED Models of Care
Simulation model version of IM-398 CLD (which lists the reference).The dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. Here Bed Capacity is a fixed parameter. For an adjusted bed capacity stock see IM-8862.For backlog and services see IM-8382
Clone of Hospital Emergency and Elective Admission Interaction Simulation 1
WIP for Whole of Hospital Program
Hospital Timeline Study
WIP Ideas. Replaced by IM-14124 and IM-14414 Ideas here focus on Additional adjusted stock of Bed Capacity version of IM-7981 .The dynamics of emergency and elective admissions competing for vacant ward beds in a hospital.
Hospital Emergency and Elective Admission Interaction Simulation 2 old
Based on combining IM-7670 with IM-7671 (WIP based on June WA Teleconference) plus indirect effects
Clone of Conceptual Model for NEAT 4 hour rule Project with Indirect Effects
Simulation model of the WIP Conceptual map IM-7671 of initial scope of the effects of the ED 4 hour rule based on June WA Teleconference and IM-8221. See also the conceptual maps of addition of indirect effects at IM-7775 and the potential wider context map in IM-6167
Initial Simulation Model for NEAT 4 hour rule Project
Patient flow through ED at the end of life
ED end of life
Simulation model version of IM-398 CLD (which lists the reference).The dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. Here Bed Capacity is a fixed parameter. For an adjusted bed capacity stock see IM-8862.For backlog and services see IM-8382
Clone of Hospital Emergency and Elective Admission Interaction Simulation 1
A work in progress model for ED daily average flows based on reported statistics by triage category with all triage categories aggregated See IM-663 for a more annotated version
Clone of ED flows by triage all
Causal Loop Diagram of the Dynamics of Emergency Department Overcrowding
Emergency Room Patient Flow Complex CLD
