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
Clone of Clinical Judgment Structure
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
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
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
Psychological MBTI Types
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
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
Thinking like a nurse rich pic after simulation
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
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
Five Information Filters and Bounded Rationality affecting Policy Action from Fig 7.12 p210 John Morecroft's Book 2007 Strategic Modelling and Business Dynamics
Clone of Bounded Rationality
From Rudolph JW Morrison JB and Carroll JS (2009) The Dynamics of Action-Oriented Problem Solving: Linking Interpretation and Choice. Academy of Management Review 34 (4) p733-756 Available online . This paper won the Forrester Award for 2012 and the presentation talk video is available. The presentation paper abstract is available in System Dynamics Review 2013 here
Clone of Action-Oriented Problem Solving Dynamics
Larry Weed's Medicine in Denial book : his view of health information to make a difference
Problem knowledge coupler
Diagrams of theories of control of destiny at multiple scales as fundamental causes of social determinants of health from Whitehead 2016 article in Health and Place
Control over decisions and health inequalities at multiple scales of experience
This model is under construction, not at all ready, don't use it for any purposes (my suggestion ☺) yet.
Adazhi under construction2
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.
Can decisions based on META-VALUES improve outcomes?
From Navid G's HSR 2013 paper Fig 1
Practice Variation, Bias and Experiential Learning
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 Digital Literacy & Electronic Healthcare Record Integration
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 Psychological MBTI Types
WIP based on Emery Roe's 2013 book. See also Dynamics in Action IM-3239 for more on behavior and The Art of the State IM-11962 for more on Grid-Group Cultural Theory
Clone of Managing Mess
WIP Based on Sheldrick Implementation science 2016
article A system dynamics model of clinical decision thresholds for
the detection of developmental-behavioral disorders. Vensim model modified to show patterns
Clinical Decision Threshold Dynamics
This model is under construction, not at all ready, don't use it for any purposes (my suggestion ☺) yet.
Clone of adazhi under construction
Modified from Sterman (2006) and Gene Bellinger's Assumptions IM-351 by Dr Rosemarie Sadsad UNSW See also Complex Decision Technologies IM and IM-63975
Clone of Virtual Experiments
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
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
From Rudolph JW Morrison JB and Carroll JS (2009) The Dynamics of Action-Oriented Problem Solving: Linking Interpretation and Choice. Academy of Management Review 34 (4) p733-756 Available online . This paper won the Forrester Award for 2012 and the presentation talk video is available. The presentation paper abstract is available in System Dynamics Review 2013 here
Clone of Action-Oriented Problem Solving Dynamics