PMID- 36901601
OWN - NLM
STAT- MEDLINE
DCOM- 20230314
LR  - 20230320
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 20
IP  - 5
DP  - 2023 Mar 5
TI  - A Fuzzy Hybrid MCDM Approach for Assessing the Emergency Department Performance 
      during the COVID-19 Outbreak.
LID - 10.3390/ijerph20054591 [doi]
LID - 4591
AB  - The 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.
FAU - Ortiz-Barrios, Miguel
AU  - Ortiz-Barrios M
AD  - Department of Productivity and Innovation, Universidad de la Costa CUC, 
      Barranquilla 081001, Colombia.
FAU - Jaramillo-Rueda, Natalia
AU  - Jaramillo-Rueda N
AD  - Department of Productivity and Innovation, Universidad de la Costa CUC, 
      Barranquilla 081001, Colombia.
FAU - Gul, Muhammet
AU  - Gul M
AUID- ORCID: 0000-0002-5319-4289
AD  - School of Transportation and Logistics, Istanbul University, Istanbul 34320, 
      Turkey.
FAU - Yucesan, Melih
AU  - Yucesan M
AUID- ORCID: 0000-0001-6148-4959
AD  - Department of Emergency Aid and Disaster Management, Munzur University, Tunceli 
      62000, Turkey.
FAU - Jimenez-Delgado, Genett
AU  - Jimenez-Delgado G
AUID- ORCID: 0000-0003-1016-5805
AD  - Department of Industrial Engineering, Institucion Universitaria de Barranquilla 
      IUB, Barranquilla 080002, Colombia.
FAU - Alfaro-Saiz, Juan-Jose
AU  - Alfaro-Saiz JJ
AUID- ORCID: 0000-0003-2587-6853
AD  - Research Centre on Production Management and Engineering, Universitat Politecnica 
      de Valencia, 46022 Valencia, Spain.
LA  - eng
PT  - Journal Article
DEP - 20230305
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Humans
MH  - *Decision Making
MH  - Fuzzy Logic
MH  - *COVID-19
MH  - Uncertainty
MH  - Turkey
PMC - PMC10001734
OTO - NOTNLM
OT  - combined compromise solution (CoCoSo)
OT  - emergency departments (EDs)
OT  - intuitionistic fuzzy analytic hierarchy process (IF-AHP)
OT  - intuitionistic fuzzy decision making trial and evaluation laboratory (IF-DEMATEL)
OT  - performance evaluation
COIS- The authors declare no conflict of interest.
EDAT- 2023/03/12 06:00
MHDA- 2023/03/15 06:00
PMCR- 2023/03/05
CRDT- 2023/03/11 01:14
PHST- 2023/01/09 00:00 [received]
PHST- 2023/02/15 00:00 [revised]
PHST- 2023/02/28 00:00 [accepted]
PHST- 2023/03/11 01:14 [entrez]
PHST- 2023/03/12 06:00 [pubmed]
PHST- 2023/03/15 06:00 [medline]
PHST- 2023/03/05 00:00 [pmc-release]
AID - ijerph20054591 [pii]
AID - ijerph-20-04591 [pii]
AID - 10.3390/ijerph20054591 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2023 Mar 5;20(5):4591. doi: 
      10.3390/ijerph20054591.