A Medical Imaging View of Patient Flows through ED Imaging Workup. See IM-375 for an extended map
ED-Imaging Patient Flow 1
Unfolding WIP of Eric Wolstenholme's explanation of hospital congestion from March 2022 Youtube video and online stella presentation. Use of cascading interlinked archetypes. See Kumu version, early discharge boundaries IM for an earlier version and Generic Archetypes IM from Gene and Simpler Version IM
Hospital congestion cascading archetypes
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
ED Presentation Choices Context
From Peter Lacey's Whole Systems Partnership UK NHS ithink model with uncertainty added
End of Life Model with Uncertainty
WIP for IT enabled regional health services. See also IM-14104 The Ecology of Medical Care
Regional Health Services
Dynamics of Emergency Room Crowding a simple uncalibrated simulation which includes Wards and some simple internal ED feedback effects
Emergency Room and Wards Patient Flow Simulation
Click +View Story on Bottom Left to unfold his wide view of Emergency care patient flows IM-6072 used as context to add confounders and potential indirect effects. See also IM-1010 for hospital fixes that fail, wiki for general Systems Archetypes and wiki for Leverage Points (There is also a health leverage points WIP wiki page)
Confounding Interventions and Indirect Effects of the Four Hour Rule
Physician agents interacting with delegate agents for emergency department assessment diagnosis and treatment. From BMC paper May 2013, combining figs 1 and 2
ED Physician Delegation Hybrid Model
From Adapting ‘Agility’ to Healthcare Service Delivery, by Tom Rust, Khalid Saeed, Isa Bar-On, Oleg Pavlov Paper from July 2013 System dynamics Conference Cambridge MA and also 2012 Conference paper Could be extended by adding dynamics described in going solid insight
Clone of Care Service Capacity Adjustment
Clone of Clone 4of IM 27348, of JPS IM-27150 of original JPS IM-14117 See reference in diagram notes. WIP for Environment part of primary care regional model
Clone of Clone of Clone 5 The Ecology of Medical Care
Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305
Generic Patient Flow CLD
Flows between acute hospital and aged care for older people.
Clone of Aged Care and Hospital Flows
Patients on Treatment represented as people in a swimming pool. Fast Switchers change costumes. Lapsed Users sit by the pool. Misdiagnosed people are in the wrong pool. Extended from IM-305
Patient Care Process Swimming Pool Metaphor
A general model of flows between hospital and the community. An expanded version is at IM-623
Hospital Flow Context 1
Extension of IM-14144 with ward outliers as a prelude to a modular ward dynamics framework. Should include ideas in IM-1008 For backlog and services see IM-8382
Generic Hospital Ward Dynamics
Hourly arrival pattern added to IM-663 A work in progress model for ED daily average flows based on reported statistics by triage category with all triage categories aggregated. Based on a hospital performance report from http://www.bhi.nsw.gov.au/publications/hospital_quarterly_3
See IM-8221 for Triage splits WIP
ED flows by triage totals with hourly arrival
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
Emergency Department Simplest Wait View 1
Coping but not coping in health and social care: masking the reality of running organisations beyond safe design capacity. From Eric Wolstenholme Syst. Dyn. Rev. 23, 371–389, (2007) abstract See IM-1008 for a stock flow version. Click the Start Story feature at the bottom left.
Coping but not coping CLD
Extension of IM-14124 with an adjusted bed capacity stock. For backlog and services see IM-8382
Clone of Hospital Emergency and Elective Admission Interaction Simulation 3
Summary of several AIHW reports on Aged Care Pathways from 2011-2017
Aged Care Pathways
Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305
Clone of Generic Patient Flow CLD
Clone of Clone 4of IM 27348, of JPS IM-27150 of original JPS IM-14117 See reference in diagram notes. WIP for Environment part of primary care regional model
Clone of Clone of Clone 5 The Ecology of Medical Care
Physician agents interacting with delegate agents for emergency department assessment diagnosis and treatment. From BMC paper May 2013, combining figs 1 and 2
Clone of ED Physician Delegation Hybrid Model
