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Identifying indicators influencing emergency department performance during a medical surge: A consensus-based modified fuzzy Delphi approach

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  • Egbe-Etu Etu
  • Leslie Monplaisir
  • Celestine Aguwa
  • Suzan Arslanturk
  • Sara Masoud
  • Ihor Markevych
  • Joseph Miller

Abstract

During a medical surge, resource scarcity and other factors influence the performance of the healthcare systems. To enhance their performance, hospitals need to identify the critical indicators that affect their operations for better decision-making. This study aims to model a pertinent set of indicators for improving emergency departments’ (ED) performance during a medical surge. The framework comprises a three-stage process to survey, evaluate, and rank such indicators in a systematic approach. The first stage consists of a survey based on the literature and interviews to extract quality indicators that impact the EDs’ performance. The second stage consists of forming a panel of medical professionals to complete the survey questionnaire and applying our proposed consensus-based modified fuzzy Delphi method, which integrates text mining to address the fuzziness and obtain the sentiment scores in expert responses. The final stage ranks the indicators based on their stability and convergence. Here, twenty-nine potential indicators are extracted in the first stage, categorized into five healthcare performance factors, are reduced to twenty consentaneous indicators monitoring ED’s efficacy. The Mann-Whitney test confirmed the stability of the group opinions (p

Suggested Citation

  • Egbe-Etu Etu & Leslie Monplaisir & Celestine Aguwa & Suzan Arslanturk & Sara Masoud & Ihor Markevych & Joseph Miller, 2022. "Identifying indicators influencing emergency department performance during a medical surge: A consensus-based modified fuzzy Delphi approach," PLOS ONE, Public Library of Science, vol. 17(4), pages 1-16, April.
    • Handle: RePEc:plo:pone00:0265101
    DOI: 10.1371/journal.pone.0265101
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    References listed on IDEAS

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    2. John Pastor Ansah & Salman Ahmad & Lin Hui Lee & Yuzeng Shen & Marcus Eng Hock Ong & David Bruce Matchar & Lukas Schoenenberger, 2021. "Modeling Emergency Department crowding: Restoring the balance between demand for and supply of emergency medicine," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-33, January.
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