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WIP Reviewing past work on a dynamic computational version of clinical reasoning and judgment
Dynamic Clinical Decision Making
4 months ago
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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
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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
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Fig 1.1 p19-22 Robert A Greenes Ed (2007) Clinical Decision Support:The Road Ahead Elsevier

Clinical Decision Support Cycles
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Some diagrams from the NDM 2019 Conference. See also Explaining explanation insight
The process of explaining
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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

Real World and Model World
11 months ago
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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
4 months ago
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WIP See also IM-2806 Value and Effectiveness and IM-616 Learning and Stress Emotion and Control IM
Regret
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Festinger's theory of cognitive dissonance represented in feedback loops, relevant to defensive behaviours, goal conflict in PCT and mental health  From p256 Fig 4.23 of George Richardson (1991) Book Feedback Thought in Social Science and Systems Theory,. Book reviewed here 

Cognitive Dissonance
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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
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Overview of Myers Briggs mental preferences based on Jim Rogers MBTI Manual and Gifts Differing Book. Compare with Thinking feeling acting and interacting representation of human behaviour based on BPSD (dementia) work by Victor Vickland, PCT, Sapience and Gary Smith
Clone of Clone of Psychological MBTI Types
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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
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Linked concept version of Tanner's Clinical Judgment Model

Thinking like a nurse
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Potential Diagnostic Error flows based on Schiff's Diagnostic Error Categories

Diagnostic Error Flows
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Diagrams from Chen2011 IEEE Computer Article 

From Data Analysis and Visualization to Causality Discovery

Causal Reasoning Platform
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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

Clone of Real World and Model World
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WIP for Continuity of care ISO From Wikipedia Initial Insight Representation from ContSys

Patient statechart split off at IM-4010
Clinical Process Overview
3 4 months ago
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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

Clone of Thinking like a nurse rich pic after simulation
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WIP for Continuity of care ISO Old Version From Wikipedia Replaced by IM-4008

Clone of Clinical Process eHealth view
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​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?
Clone of Dynamics in Action
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Extension of IM-1401 to clinical judgments of risk and decisions to act  See medical decision making 2016 article abstract

Bifocal Brunswik Lens Model
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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
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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)
Modelling human behaviour (MoHuB)
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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
Continuity of care
4 months ago