From PLOS One  Article  April 2012 Worni, M et al System Dynamics to Model the Unintended Consequences of Denying Payment for Venous Thromboembolism after Total Knee Arthroplasty
Safety Policy Funding Clinical Care Surgery Quality Performance Unintended Consequences Health Care
From PLOS One Article April 2012 Worni, M et al System Dynamics to Model the Unintended Consequences of Denying Payment for Venous Thromboembolism after Total Knee Arthroplasty
Payment Policy Unintended Consequences
Geoff McDonnell
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
Emergency Health Care Clinical Care Patient Flow Disposition
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
Geoff McDonnell
Larry Weed's Medicine in Denial book  : his view of health information to make a difference
EHealth Informatics Decision Making Clinical Care Health Care Systems Science
Larry Weed's Medicine in Denial book : his view of health information to make a difference
Problem knowledge coupler
Geoff McDonnell
9 months ago
Based on combining  IM-7670   with  IM-7671  (WIP based on June WA Teleconference) plus indirect effects
Health Care Clinical Care Emergency Patient Flow
Based on combining IM-7670  with IM-7671 (WIP based on June WA Teleconference) plus indirect effects
Conceptual Model for NEAT 4 hour rule Project with Indirect Effects
Geoff McDonnell
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  
Health Care Decision Making Clinical Care EHealth Systems Science

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
Geoff McDonnell
9 months ago
WIP for Continuity of care ISO From Wikipedia Initial Insight Representation from ContSys Patient statechart split off at  IM-4010
Clinical Care Health Care EHealth Decision Making

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

Patient statechart split off at IM-4010
Clinical Process Overview
Geoff McDonnell
3 9 months ago
Examples of macroanalysis relevant to representing causal mechanisms linking genes to diseases from darden2018 MecCog article  and 2017 Product to Process  article
Inference Causation Clinical Care Biomedical Decision Making Mechanism Judgment
Examples of macroanalysis relevant to representing causal mechanisms linking genes to diseases from darden2018 MecCog article and 2017 Product to Process article
Mechanistic Reasoning from Genotype to Phenotype
Geoff McDonnell
WIP for Continuity of care ISO Old Version From Wikipedia Replaced by IM-4008
Health Care Decision Making Clinical Care

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

Clinical Process eHealth view
Geoff McDonnell
Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305
Clinical Care Hypertension Health Care Patient Flow

Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305

Generic Patient Flow CLD
Geoff McDonnell
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 knowled
Medicines Safety Informatics Performance Health Care Clinical Care
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.
Medication error CLD
Geoff McDonnell
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
Health Care Nursing Clinical Care Decision Making

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

Thinking like a nurse rich pic
Geoff McDonnell
4
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
Resilience Emergency Health Care Patient Flow Clinical Care

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

ED Resilience SD
Geoff McDonnell
Examples of macroanalysis relevant to clinical reasoning --assessing individual patient causal mechanisms contributing to deficits in wellbeing from book fava guidi sturmey and chapter ethics for judging value from barbosa 2012
Wellbeing Decision Making Inference Ethics Judgment Clinical Care Psychology
Examples of macroanalysis relevant to clinical reasoning --assessing individual patient causal mechanisms contributing to deficits in wellbeing from book fava guidi sturmey and chapter ethics for judging value from barbosa 2012
Wellbeing Problem Formulation Case Examples
Geoff McDonnell
3 9 months ago
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 R
Clinical Care Health Care Nursing Decision Making

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

Thinking like a nurse concept map
Geoff McDonnell
Extension of  IM-1401  to clinical judgments of risk and decisions to act  See medical decision making 2016 article  abstract
Perception Health Care Clinical Care Brunswik Methods Decision Making

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

Bifocal Brunswik Lens Model
Geoff McDonnell
Linked concept version of Tanner's Clinical Judgment Model
Decision Making Health Care Clinical Care Nursing

Linked concept version of Tanner's Clinical Judgment Model

Thinking like a nurse
Geoff McDonnell
WIP Reviewing past work on a dynamic computational version of clinical reasoning and judgment
Clinical Care Diagnosis Behavior Inference Decision Making Health Care Cognition Performance Knowledge Learning
WIP Reviewing past work on a dynamic computational version of clinical reasoning and judgment
Dynamic Clinical Decision Making
Geoff McDonnell
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 knowle
Informatics Safety Clinical Care Medicines Health Care

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.

Clone of Medication error CLD
AGG
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
Services Health Care Clinical Care Implementation Primary Care Regional Chronic Disease
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
Clone of Implementing Chronic Care Management
john r hawkins
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.  Se
Decision Making Primary Care Behavior Health Care Learning Clinical Care Judgment
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
Geoff McDonnell
8 months ago
Evolution of eHEalth focus from Documenting, to Workflow to Assisting Clinical Judgement. Conceptual confusion among data, information and knowledge models and management. 
Clinical Care Learning EHealth Health Care

Evolution of eHEalth focus from Documenting, to Workflow to Assisting Clinical Judgement. Conceptual confusion among data, information and knowledge models and management. 

eHealth Evolution
Geoff McDonnell
Patients on Treatment represented as people in a swimming pool. Fast Switchers change costumes. Lapsed Users sit by the pool. Misdiagnosed people are in the wrong pool. Extended from  IM-305
Health Care Clinical Care Patient Flow

Patients on Treatment represented as people in a swimming pool. Fast Switchers change costumes. Lapsed Users sit by the pool. Misdiagnosed people are in the wrong pool. Extended from IM-305

Patient Care Process Swimming Pool Metaphor
Geoff McDonnell
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
Clinical Care Health Care EHealth 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
Clinical Process with Patient States
Geoff McDonnell
Linked concept version of Tanner's Clinical Judgment Model used as a scaffolding to start modeling managing the deteriorating patient.
Decision Making Clinical Care Health Care Nursing

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

Nurse thinking and the deteriorating patient
Geoff McDonnell