A fuzzy hybrid mcdm approach for assessing the emergency department performance during the COVID-19 outbreak

dc.creatorOrtíz-Barrios, Miguel
dc.creatorJaramillo Rueda, Natalia
dc.creatorGul, Muhammet
dc.creatorJimenez Delgado, Genett Isabel
dc.creatorAlfaro-Saiz, Juan-Jose
dc.date2023-08-31T22:09:54Z
dc.date2023-08-31T22:09:54Z
dc.date2023-03-05
dc.date.accessioned2023-10-03T19:54:19Z
dc.date.available2023-10-03T19:54:19Z
dc.identifierOrtíz-Barrios, M.; Jaramillo-Rueda, N.; Gul, M.; Yucesan, M.; Jiménez-Delgado, G.; Alfaro-Saíz, J.-J. A Fuzzy Hybrid MCDM Approach for Assessing the Emergency Department Performance during the COVID-19 Outbreak. Int. J. Environ. Res. Public Health 2023, 20, 4591. https://doi.org/10.3390/ ijerph20054591
dc.identifier1661-7827
dc.identifierhttps://hdl.handle.net/11323/10437
dc.identifier10.3390/ijerph20054591
dc.identifier1660-4601
dc.identifierCorporación Universidad de la Costa
dc.identifierREDICUC - Repositorio CUC
dc.identifierhttps://repositorio.cuc.edu.co/
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/9173174
dc.descriptionThe use of emergency departments (EDs) has increased during the COVID-19 outbreak, thereby evidencing the key role of these units in the overall response of healthcare systems to the current pandemic scenario. Nevertheless, several disruptions have emerged in the practical scenario including low throughput, overcrowding, and extended waiting times. Therefore, there is a need to develop strategies for upgrading the response of these units against the current pandemic. Given the above, this paper presents a hybrid fuzzy multicriteria decision-making model (MCDM) to evaluate the performance of EDs and create focused improvement interventions. First, the intuitionistic fuzzy analytic hierarchy process (IF-AHP) technique is used to estimate the relative priorities of criteria and sub-criteria considering uncertainty. Then, the intuitionistic fuzzy decision making trial and evaluation laboratory (IF-DEMATEL) is employed to calculate the interdependence and feedback between criteria and sub-criteria under uncertainty, Finally, the combined compromise solution (CoCoSo) is implemented to rank the EDs and detect their weaknesses to device suitable improvement plans. The aforementioned methodology was validated in three emergency centers in Turkey. The results revealed that the most important criterion in ED performance was ER facilities (14.4%), while Procedures and protocols evidenced the highest positive D + R value (18.239) among the dispatchers and is therefore deemed as the main generator within the performance network.
dc.format39 páginas
dc.formatapplication/pdf
dc.formatapplication/pdf
dc.languageeng
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)
dc.publisherSwitzerland
dc.relationInternational Journal of Environmental Research and Public Health
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dc.rights© 2023 by the authors. Licensee MDPI, Basel, Switzerland.
dc.rightsAtribución 4.0 Internacional (CC BY 4.0)
dc.rightshttps://creativecommons.org/licenses/by/4.0/
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.sourcehttps://www.mdpi.com/1660-4601/20/5/4591
dc.subjectEmergency departments (EDs)
dc.subjectIntuitionistic fuzzy analytic hierarchy process (IF-AHP)
dc.subjectIntuitionistic fuzzy decision making trial and evaluation laboratory (IF-DEMATEL)
dc.subjectCombined compromise solution (CoCoSo)
dc.subjectPerformance evaluation
dc.titleA fuzzy hybrid mcdm approach for assessing the emergency department performance during the COVID-19 outbreak
dc.typeArtículo de revista
dc.typehttp://purl.org/coar/resource_type/c_2df8fbb1
dc.typeText
dc.typeinfo:eu-repo/semantics/article
dc.typehttp://purl.org/redcol/resource_type/ART
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typehttp://purl.org/coar/version/c_970fb48d4fbd8a85


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