Gynecobstetrics departments (GDs) oversee diagnosing, monitoring, and treating female reproductive diseases as well as assisting women during pregnancy. Their importance motivates the creation of ...suitable performance evaluation approaches for identifying weaknesses and designing focused interventions. Therefore, the aim of this paper is twofold: (a) provide an approach for GD performance evaluation and (b) propose interventions tackling the GDs’ weaknesses. The fuzzy analytic hierarchy process (FAHP) was first applied to calculate the initial criteria and subcriteria weights under vagueness. Then, the decision‐making trial and evaluation laboratory (DEMATEL) was implemented to evaluate interrelations. FAHP and DEMATEL were later combined to estimate the final criteria and subcriteria weights under vagueness and interdependency. Finally, the technique for order of preference by similarity to ideal solution (TOPSIS) was used to rank the GDs and detect improvement opportunities. A case study of a cluster including three GDs is presented to validate the proposed approach. The results evidenced that patient safety and service quality are the most critical aspects in GD performance evaluation. The results from this application can be used by healthcare managers for designing focused interventions targeting improved performance of GDs. This paper fully exploits the advantages of FAHP, DEMATEL, and TOPSIS methods for evaluating performances of GDs. Furthermore, this study presents a novel decision‐making model representing the multifactorial context of the GD performance.
The recent increase in the number of disasters over the world has once again brought to the agenda the question of preparedness of the hospitals, which are the most necessary units of healthcare ...pillar to resist these disasters. The COVID-19 epidemic disease, which has affected the whole world, has caused a large number of people to die in some countries simply because of the inadequate and incomplete planning and lack of readiness of hospitals. For this reason, determining the disaster preparedness level of hospitals is an important issue that needs to be studied and it is important in terms of disaster damage reduction. In this study, a fuzzy hybrid decision-making framework is proposed to assess hospital disaster preparedness. The framework covers three important decision-making methods. For the first phase, Intuitionistic Fuzzy Analytic Hierarchy Process (IF-AHP) is used to assign relative weights for several disaster preparedness criteria considering uncertainty. Secondly, Intuitionistic Fuzzy Decision Making Trial and Evaluation Laboratory (IF-DEMATEL) is applied to identify interrelations among these criteria and feedback. Finally, via the VlseKriterijumska Optimizacija I Kompromisno Resenje (VIKOR) method, priorities of hospitals regarding disaster readiness are obtained. A case study involving the participation of 10 Colombian tertiary hospitals is carried out to show the applicability of this fuzzy hybrid approach.
Scheduling flexible job-shop systems (FJSS) has become a major challenge for different smart factories due to the high complexity involved in NP-hard problems and the constant need to satisfy ...customers in real time. A key aspect to be addressed in this particular aim is the adoption of a multi-criteria approach incorporating the current dynamics of smart FJSS. Thus, this paper proposes an integrated and enhanced method of a dispatching algorithm based on fuzzy AHP (FAHP) and TOPSIS. Initially, the two first steps of the dispatching algorithm (identification of eligible operations and machine selection) were implemented. The FAHP and TOPSIS methods were then integrated to underpin the multi-criteria operation selection process. In particular, FAHP was used to calculate the criteria weights under uncertainty, and TOPSIS was later applied to rank the eligible operations. As the fourth step of dispatching the algorithm, the operation with the highest priority was scheduled together with its initial and final time. A case study from the smart apparel industry was employed to validate the effectiveness of the proposed approach. The results evidenced that our approach outperformed the current company’s scheduling method by a median lateness of 3.86 days while prioritizing high-throughput products for earlier delivery.
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
(14.4%), while
evidenced the highest positive D + R value (18.239) among the dispatchers and is therefore deemed as the main generator within the performance network.
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