Extension of IM-7981 with dynamics of daily ward discharges and did not waits. For an adjusted bed capacity stock see IM-14144.For backlog and services see IM-8382

Patient flow through ED at the end of life

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)

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

Rich picture version of published simple model representation described as a capacitated processing model, modified to separate Patient Flow from workflow.

Two stock hospital model of planned admissions with bed capacity adjustment Fig 3.8 from 2019 book by Eric Wolstenholme and Doug McKelvie. See also  Online interactive stella architect models website

WIP Patient Flow improvement strategies for a City Hospital with 3 years historical data and two year planning horizon. Built after a Generic Teaching Hospital Model IM-10346 A simplified stock flow map is at IM-399

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.

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

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

Extension of IM-14144 with ward outliers as a prelude to a modular ward dynamics framework. Should include ideas in IM-1008 For backlog and services see IM-8382

Clone of IM-10714 WIP for LHN Individual Hospital O Month of October 2013, to which insights of IM-11079 and IM-7981 are being added here

   When patient census is low the hospital decreases staff. In addition to staff shortage they implement new protocol to attempt to reduce incidents. However, this act aggravates patients, decreases staff productivity, causes injuries, and decreases overall productivity.   

Causal loop diagram of the dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. From

Lane, David C. and Monefeldt, C. and Rosenhead, Jonathan (2000) Looking in the wrong place for healthcare improvements: a system dynamics study of an accident and emergency department.  Journal of the Operational Research Society, 51 (5). pp. 518-531. ISSN 0160-5682 

See IM-7981 for Simulation Model

WIP for LHN Individual Hospital O Month of October 2013 linking monthly NWAUs and same and overnight activities from ED and Elective Surgery (ES)

WIP for a HEalth Care Learning Thread for SOHT a proof of concept before adding to SysNet

WIP Variables in Report for conversion into what-if stock flow simulation for the next week.

NEAT Project WIP Narrow view of ED only. See IM-6167 for the widest view and IM-6913 for Task Interactions within the ED

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

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

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

Extension of IM-7981 with dynamics of daily ward discharges and did not waits. For an adjusted bed capacity stock see IM-14144.For backlog and services see IM-8382

Extension of IM-7981 with dynamics of daily ward discharges and did not waits. For an adjusted bed capacity stock see IM-14144.For backlog and services see IM-8382