Larry Weed's Medicine in Denial book : his view of health information to make a difference
Problem knowledge coupler
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
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 Reviewing past work on a dynamic computational version of clinical reasoning and judgment
Dynamic Clinical Decision Making
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
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
A simple SD model From alonge2017 health policy and planning article
Pay for Performance in Low Income Health Facilities
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
Test Sensitivity and Specificity see ROC wikipedia and Tom Fawcett's 2006 article introduction to ROC Analysis, Can be linked to Brunswik Lens IM-1401
Test ROC Curves
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
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
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
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
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 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
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
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
Linked concept version of Tanner's Clinical Judgment Model
Thinking like a nurse
Potential Diagnostic Error flows based on Schiff's Diagnostic Error Categories
Diagnostic Error Flows
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
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
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
Clone of Implementing Chronic Care Management
Summary of Eric Topol's 2019 book Deep Medicine How Artificial Intelligence Can Make Healthcare Human Again
Deep Medicine
