Simplest ED Model for Weekend ED Performance with 1 ED area IM-11079 Ward net discharges are extended with Ward and Waitlist inflow and outflow details (informed by IM-7981) WIP
Clone of ED Flows extended to Ward and Waitlist Flows
See reference in diagram notes. WIP for Environment part of primary care regional model
Clone of The Ecology of Medical Care
A simple SD model From alonge2017 health policy and planning article
Pay for Performance in Low Income Health Facilities
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
Extension of IM-13989 to include the tension between disease guideline checklist and holistic medicine within the clinical encounter in primary care See also moments of truth IM-2275
Clinical Encounter Time Pressures
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
Improving the diagnostic process
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
Stock Flow Map of MIT SDM
Seminar Presentation on Improving an Eye Clinic in India. Compare with Service
work pressure insight CLS
Extended to include time pressures within the clinical encounter insight
Clinic Services Time Pressures
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
A simple error chain of medication errors for patients in hospital. Serious medication errors in inpatients with drug orders sometimes result in Adverse Drug Events (ADE) and Deaths. See next IM-646
Medication error inpatients 1
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
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
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
Jack Homer's model via ithink and Mark Heffernan. From Jack's paper Worker burnout: a dynamic model with implications for prevention and control System Dynamics Review 1985 1(1)42-62. See IM-641 for the Causal loop diagram
Burnout Dynamics
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
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
Implementing Chronic Care Management
Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305
Generic Patient Flow CLD
Potential Diagnostic Error flows based on Schiff's Diagnostic Error Categories
Diagnostic Error Flows
Linked concept version of Tanner's Clinical Judgment Model
Thinking like a nurse
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
WIP for Continuity of care ISO Old Version From Wikipedia Replaced by IM-4008
Clone of Clinical Process eHealth view
Summary of Eric Topol's 2019 book Deep Medicine How Artificial Intelligence Can Make Healthcare Human Again
Deep Medicine
This is a high level system dynamics model which is built to determine the dynamic relationships of the FSA and Followups capacity. Therefore, it can help clinicians to find out the optimistic method in order to reduce the waiting list. At past clinicians were seeing more FSA patients, however, after few months, the followups patients overwhelmed the clinics. Therefore waiting list has been built up again. By running this model, clinicians can find out the balanced leverage point(s).
Authors: Ashish Taneja, Keming Wang and Daniel Wong
Clone of Outpatient Clinics Patient Flow
Modified from Mark Paich et al. 's book: Pharmaceutical product strategy. Fig 4.7 p 69. It formed the basis of a hypertension intervention discussion Aug-Sept 2010
Hypertension Intervention generalised
