Understanding the dynamic effects of returning patients toward emergency department density

摘要

This paper presents the development of a dynamic hypothesis for the effect of returning patients to the emergency department (ED). A logical tree from the Theory of Constraint known as Current Reality Tree was used to identify the key variables. Then, a hypothetical framework portraying the interrelated variables and its influencing relationships was developed using causal loop diagrams (CLD). The conceptual framework was designed as the basis for the development of a system dynamics model.