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Inferring causal networks of health care resilience and safety performance indicators: A two-stage fuzzy cognitive map approach

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  • Zarrin, Mansour

Abstract

In the literature, there are three major concepts used to model resilience and safety performance: (i) integrated resilience engineering (IRE), (ii) work motivational factors, (iii) health, safety, environment, and ergonomics (HSEE). Over the last few decades, health care has developed a compartmentalized vision of performance, safety, and resilience. The issues caused by this are not yet clearly understood since the developments in each dimension are in their infancy. This paper presents a two-stage fuzzy cognitive map (FCM) using a non-linear Hebbian learning (NHL) algorithm and three evolutionary algorithms (EAs) to model the causal relations among these concepts and their impact on health care performance. This paper aims to infer the causal network of these concepts. We use an FCM trained in two stages to show the synergistic relationships among the health and safety paradigms and their favorable effects on the organization's safety performance. The methodology developed in this study targets achieving the minimum learning error by running an NHL algorithm followed by three EAs comprising genetic algorithm (GA), particle swarm optimization (PSO), and imperialist competitive algorithm (ICA). The method is applied to a case study of a large general hospital. While a mere defuzzification of the experts' judgments yields virtually no distinguishability between the individual factors and their impact on performance, our approach extracts a much-improved degree of differentiation. One striking example is the obtained high impact of self-organization and overall workload on resilience and safety performance.

Suggested Citation

  • Zarrin, Mansour, 2022. "Inferring causal networks of health care resilience and safety performance indicators: A two-stage fuzzy cognitive map approach," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    • Handle: RePEc:eee:soceps:v:84:y:2022:i:c:s0038012122001847
    DOI: 10.1016/j.seps.2022.101389
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    References listed on IDEAS

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    1. Farouq Halawa & Sreenath Chalil Madathil & Alice Gittler & Mohammad T. Khasawneh, 2020. "Advancing evidence-based healthcare facility design: a systematic literature review," Health Care Management Science, Springer, vol. 23(3), pages 453-480, September.
    2. Turenne, Charlotte Pailliard & Gautier, Lara & Degroote, Stéphanie & Guillard, Etienne & Chabrol, Fanny & Ridde, Valéry, 2019. "Conceptual analysis of health systems resilience: A scoping review," Social Science & Medicine, Elsevier, vol. 232(C), pages 168-180.
    3. Sacchelli, S. & Fabbrizzi, S., 2015. "Minimisation of uncertainty in decision-making processes using optimised probabilistic Fuzzy Cognitive Maps: A case study for a rural sector," Socio-Economic Planning Sciences, Elsevier, vol. 52(C), pages 31-40.
    4. Madjid Tavana & Salman Nazari-Shirkouhi & Hamidreza Farzaneh Kholghabad, 2021. "An integrated quality and resilience engineering framework in healthcare with Z-number data envelopment analysis," Health Care Management Science, Springer, vol. 24(4), pages 768-785, December.
    5. Rezaei Soufi, Hojat & Esfahanipour, Akbar & Akbarpour Shirazi, Mohsen, 2022. "A quantitative approach for analysis of macroeconomic resilience due to socio-economic shocks," Socio-Economic Planning Sciences, Elsevier, vol. 79(C).
    6. Ferraro, Aniello & Cerciello, Massimiliano & Agovino, Massimiliano & Garofalo, Antonio, 2021. "Do public policies reduce social exclusion? The role of national and supranational economic tools," Structural Change and Economic Dynamics, Elsevier, vol. 57(C), pages 165-181.
    7. M. A. Miranda & S. Salvatierra & I. Rodríguez & M. J. Álvarez & V. Rodríguez, 2020. "Characterization of the flow of patients in a hospital from complex networks," Health Care Management Science, Springer, vol. 23(1), pages 66-79, March.
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