WIP Reviewing past work on a dynamic computational version of clinical reasoning and judgment

WIP See also IM-2806 Value and Effectiveness and IM-616 Learning and Stress Emotion and Control IM

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. 

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

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

Some diagrams from the NDM 2019 Conference. See also Explaining explanation insight

Based on diagrams in the NAP 2015 Report Improving diagnosis in health care process Compare with IM-885 Clinical judgment to provide context and and Decision Ladder IM-689 to provide decision process task detail

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.

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 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

This model is under construction, not at all ready, don't use it for any purposes (my suggestion ☺) yet.

Linked concept version of Tanner's Clinical Judgment Model

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

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

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

Patient statechart split off at IM-4010

From Schluter et al 2017 article A framework for mapping and comparing behavioural theories in models of social-ecological systems COMSeS2017 video. See also Balke and Gilbert 2014 JASSS article How do agents make decisions? (recommended by Kurt Kreuger U of S)

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

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

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

Diagrams from Chen2011 IEEE Computer Article 

From Data Analysis and Visualization to Causality Discovery

​Book (large pdf) by Alicia Juarrero subtitled intentional behavior as a complex system. Behaviour is action and change in the world, consisting of the external, mental and social world. Human action is intentional, meaningful  and hopefully effective. Behaviours can be:
Reactive: sense and respond
Adaptive: anticipate and learn
Generative: innovate and transform.
Which models help produce effective action?

Hoffman and Klein IEEE Intelligent systems 2017-18 series of articles on decision making and computing, including macrocognition