A  Medical Imaging view of Patient Flows through ED Imaging Workup from IM-374 , now modified by the Emergency Department's internal and external review procedures.

WIP based on Choice modelling and Mark Paich's Book and NZ work focus on Pre-ED Presentation choices, with ED and Post-ED care. Extended based on IM-998 4 hour rule context. Can be replicated to add interventions, as in IM-6167. See IM-9178 for Addition of After hours 'as is' and 'to be' flow models for Medicare Locals

Published (Robert Wears) simple model representation described as a capacitated processing model, modified to separate Patient Flow from workflow. See also IM-8382 for more recent model

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

WIP for Whole of Hospital Program. Provides Context and Detail for Hospital Timeline Study IM-9382

Dynamics of Emergency Room Crowding with treatment spaces. Here we investigate the effect of constrained spaces and ignore any changes in treatment time or staffing effects. Many of the consequences occur before treatment with potential arrivals being turned away and arrivals leaving without being treated.  

Model of Buffer Margin from Robert Wears thesis WIP

Simulation model of the WIP Conceptual map IM-7671 of initial scope of the effects of the ED 4 hour rule based on June WA Teleconference and IM-8221. See also the conceptual maps of addition of indirect effects at IM-7775 and the potential wider context map in IM-6167

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 IM-6072 which is a WIP based on Choice modelling and Mark Paich's Book and NZ work focus on Pre-ED Presentation choices, with ED and Post-ED care.  Addition of After hours 'as is' and 'to be' flow models for Medicare Locals

A Rich Picture Story representation of ED overcrowding based on Using system dynamics principles for conceptual modelling of publicly funded hospitals] by HJ Wong et al Journal of the Operational Research Society 63, 79-88 (January 2012) | doi:10.1057/jors.2010.164 Click the +view story on the bottom left

NSW Health 2012 pdf Document from Schematic to Stock and Flow Map

Based on ED RCA Report Taxonomy and Checklist Form

A work in progress conceptual model based on Using system dynamics principles for conceptual modelling of publicly funded hospitals by HJ Wong et al Journal of the Operational Research Society advance online publication, 27 April 2011 doi:10.1057/jors.2010.164. Linked concepts with annotated definitions.

Extension of IM-14124 with an adjusted bed capacity stock. For backlog and services see IM-8382

Rich picture version of published simple model representation described as a capacitated processing model, modified to separate Patient Flow from workflow.

Causal Loop Diagram of the Dynamics of Emergency Department Overcrowding

Causal loop diagram of the dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. From

Lane, David C. and Monefeldt, C. and Rosenhead, Jonathan (2000) Looking in the wrong place for healthcare improvements: a system dynamics study of an accident and emergency department.  Journal of the Operational Research Society, 51 (5). pp. 518-531. ISSN 0160-5682 

See IM-7981 for Simulation Model

Emergency care patient flows IM-6072 used as context to add confounders and potential unintended effects.

Physician agents interacting with delegate agents for emergency department assessment diagnosis and treatment. From BMC paper May 2013, combining figs 1 and 2

Emergency Room overcrowding dynamics one stock model

Dynamics of Emergency Department Crowding Initial Simplest Simulation of the View from the waiting room. Start of a simple introductory series which proceeds to IM-338  A simple CLD is at IM-340

WIP for Whole of Hospital Program

Simplest ED Model for Daily ED Performance with 1 ED area rather than 2 in IM-10571. Currently runs over a weekend and calibrated roughly to Weekend Data. ED completion rate may be better as a converter.