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 knowled
Medicines Safety Informatics Performance Health Care Clinical Care
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.
Medication error CLD
Geoff McDonnell
An example of why it's so critical to understand where the boundaries are when considering a system. (developed from Eric Wolstenholme's Archetype examples by Gene Bellinger) YouTube Video
Roam Archetype Hospital EricW Performance Patient Flow Health Care
An example of why it's so critical to understand where the boundaries are when considering a system. (developed from Eric Wolstenholme's Archetype examples by Gene Bellinger)
Hospital Early Discharge Boundaries
Gene Bellinger
6 months ago
From Nancy Leveson Vioxx Recall Study in CH8  Engineering a Safer World  and Couturier's MIT ESD Thesis
Medicines Health Care Performance Safety
From Nancy Leveson Vioxx Recall Study in CH8 Engineering a Safer World and Couturier's MIT ESD Thesis
Prescribing and Drug Recall Pressures
Geoff McDonnell
An example of why it's so critical to understand where the boundaries are when considering a system. Go to Gene's version insight
Patient Flow Systcp Health Care Hospital Performance
An example of why it's so critical to understand where the boundaries are when considering a system. Go to Gene's version insight
Clone of Hospital Early Discharge Boundaries (Old version)
Geoff McDonnell
6 months ago
From NAP Toward Quality Measures for Population Health and the Leading Health Indicators  Report  with detailed Maternal  Infant and Child Health Example Fig.3-5. Compare with WHO NCD Framework picture and IHI Whole system measures 2.0 (Added Nov 2016) See CLD conversion insight
Regional Child Prevention Program Health Framework Capability Social Performance Population Health System
From NAP Toward Quality Measures for Population Health and the Leading Health Indicators Report with detailed Maternal  Infant and Child Health Example Fig.3-5. Compare with WHO NCD Framework picture and IHI Whole system measures 2.0 (Added Nov 2016) See CLD conversion insight

Health Outcome Logic Model
Geoff McDonnell
3
From Am J Public Health April 2015 Article   Relates to Service Identification in the  Health Service Network Improvement Matrix IM
Methods Health Care Services Performance
From Am J Public Health April 2015 Article  Relates to Service Identification in the Health Service Network Improvement Matrix IM
Health Care Delivery Framework
Geoff McDonnell
Effect of rewards on the selection promotion and retirement of scholars in universities. Based on Geoffrey Brennan's Selection and the Currency of Reward chapter10 in The Theory of Institutional Design ed. RG Goodwin Cambridge University Press 1996 See also  IM-2016
Organization Management Health Care University Performance Workforce Motivation Education

Effect of rewards on the selection promotion and retirement of scholars in universities. Based on Geoffrey Brennan's Selection and the Currency of Reward chapter10 in The Theory of Institutional Design ed. RG Goodwin Cambridge University Press 1996 See also IM-2016

Scholars and Expedients 1
Geoff McDonnell
Addition to Program Evaluation Insight  based on Health System Efficiency WHO Europe 2016  publication  includes vital signs
Public Health Economics Performance Prevention Evaluation Value Program Health Care
Addition to Program Evaluation Insight based on Health System Efficiency WHO Europe 2016 publication includes vital signs
Health System Efficiency
Geoff McDonnell
Incorporating organizational factors into Probabilistic Risk Assessment(PRA) of complex socio-technical systems: A hybrid technique formalization article . For more detail of the blue area see performance shaping factors  Insight  
Performance Capability Technology Methods Systems Risk Health Care

Incorporating organizational factors into Probabilistic Risk Assessment(PRA) of complex socio-technical systems: A hybrid technique formalization article. For more detail of the blue area see performance shaping factors Insight 

Socio Technical Risk Assessment
Geoff McDonnell
4 2 months ago
WIP based on conversations with Jim Rogers
Performance Services Health Care Methods Learning
WIP based on conversations with Jim Rogers
Service Process Improvement
Geoff McDonnell
3
WIP Reviewing past work on a dynamic computational version of clinical reasoning and judgment
Clinical Care Diagnosis Behavior Inference Decision Making Health Care Cognition Performance Knowledge Learning
WIP Reviewing past work on a dynamic computational version of clinical reasoning and judgment
Dynamic Clinical Decision Making
Geoff McDonnell
Detail from Incorporating organizational factors into Probabilistic Risk Assessment(PRA) of complex socio-technical systems: A hybrid technique formalization article . See full overview at  insight 
Health Care Behavior Risk Work Systems Technology Human Action Performance Ability Capability

Detail from Incorporating organizational factors into Probabilistic Risk Assessment(PRA) of complex socio-technical systems: A hybrid technique formalization article. See full overview at  insight 

Performance shaping factors
Geoff McDonnell
3 2 months ago
Adapted from Richard Normann (1991) Service Management  Book  Wiley Fig 14.6 p163
Health Care Services Performance
Adapted from Richard Normann (1991) Service Management Book Wiley Fig 14.6 p163
Service Management Moments of Truth
Geoff McDonnell
3 5 months ago
BUilt on IM-12140 to illustrate Strategic (blue) Tactical (orange) and Operational (yellow) time scales of decisions affecting Regional Renal Services Performance, including Workforce. Also informed by IM-318 and IM-1003
Services Workforce Regional Performance Kidney Chronic Disease Health Care
BUilt on IM-12140 to illustrate Strategic (blue) Tactical (orange) and Operational (yellow) time scales of decisions affecting Regional Renal Services Performance, including Workforce. Also informed by IM-318 and IM-1003
Renal Care Services Supply and Demand
Geoff McDonnell
WIP ​Book Summary see  blog entry  Also Chuang2009 ISDC P1127 paper, Newman2017 and Edmondson2014 papers
Learning Edmondson Psychology Organization Book Safety Performance
WIP ​Book Summary see blog entry Also Chuang2009 ISDC P1127 paper, Newman2017 and Edmondson2014 papers
The Fearless Organization and Psychological Safety
Geoff McDonnell
Based on G.P. Cimellaro et al. Framework for analytical quantification of disaster resilience Engineering Structures 32 (2010) 3639–3649  paper
Behavior Hospital Disaster Performance Health Care Resilience Methods

Based on G.P. Cimellaro et al. Framework for analytical quantification of disaster resilience Engineering Structures 32 (2010) 3639–3649 paper

Facilities Disaster Resilience
Geoff McDonnell
Business case for investment in national eHealth Infrastructure Programs
Regional Performance EHealth Supply Information Health Care
Business case for investment in national eHealth Infrastructure Programs
Clone of National eHealth Program Benefits
Chung Yoon
From  IM-731  to navigate components of ability
Performance Ability Capability Learning Health Care Behavior Value
From IM-731 to navigate components of ability
Ability Launchpad
Geoff McDonnell
Rich Picture CLD from Yaman Barlas and Hakan Yasarcan (2008) A Comprehensive Model of Goal Dynamics in Organizations:Setting, Evaluation and Revision in Complex Decision Making Theory and Practice H. Qudrat-Ullah J.M. Spector P.I. Davidsen (Eds.) Springer 2008 available  online paper
Health Care Intent Performance Decision Making

Rich Picture CLD from Yaman Barlas and Hakan Yasarcan (2008) A Comprehensive Model of Goal Dynamics in Organizations:Setting, Evaluation and Revision in Complex Decision Making Theory and Practice H. Qudrat-Ullah J.M. Spector P.I. Davidsen (Eds.) Springer 2008 available online paper

Goal Dynamics CLD
Geoff McDonnell
Example of cognitive work analysis from Hoffman on eliciting the knowledge of experts with articles around 2005 and 2017 book Minding the weather
Learning Cognition Performance Macrocognition Decision Making
Example of cognitive work analysis from Hoffman on eliciting the knowledge of experts with articles around 2005 and 2017 book Minding the weather
Expert Weather Forecaster Reasoning
Geoff McDonnell
WIP Map as a basis for a future simulation that extends IM-319 to include KPIs
Performance Chronic Disease Health Care Kidney
WIP Map as a basis for a future simulation that extends IM-319 to include KPIs
Renal Care Key Performance Indicators
Geoff McDonnell
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
ROC Clinical Care Diagnosis Screening Test Health Care Decision Making Performance Investigation
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
Geoff McDonnell
WIP ​Book Summary see  blog entry  Also Chuang2009 ISDC P1127 paper, Newman2017 and Edmondson2014 papers
Psychology Safety Performance Book Organization Edmondson Learning
WIP ​Book Summary see blog entry Also Chuang2009 ISDC P1127 paper, Newman2017 and Edmondson2014 papers
Clone of The Fearless Organization and Psychological Safety
L Kurt Kreuger
WIP Summary of Lisa Rosenbaum's Feb 2019 NEJM 3 articles and audiocast .  1  Divided We Fall 2  Cursed by Knowledge 3  Not My Problem  Framework from Lintern 2018  article  diagrams on Team cognition. See also   Core theory of success IM
Performance Organization Teamwork Capability Cognition Communication Health Care
WIP Summary of Lisa Rosenbaum's Feb 2019 NEJM 3 articles and audiocast . 
3 Not My Problem
 Framework from Lintern 2018 article diagrams on Team cognition. See also  Core theory of success IM
Medical Teamwork
Geoff McDonnell