IDEAS home Printed from https://ideas.repec.org/a/eee/soceps/v84y2022ics0038012122001847.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0038012122001847
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.seps.2022.101389?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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).
    5. 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.
    6. 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.
    7. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gomes, Luís S. & Santos, Sérgio P. & Coelho, Luís Serra & Rebelo, Efigénio L., 2023. "Using MCDA to assist an Intermunicipal community develop a resilience strategy in face of the pandemic caused by the SARS-CoV-2," Socio-Economic Planning Sciences, Elsevier, vol. 87(PB).
    2. Katerina Fotova Čiković & Ivana Martinčević & Joško Lozić, 2022. "Application of Data Envelopment Analysis (DEA) in the Selection of Sustainable Suppliers: A Review and Bibliometric Analysis," Sustainability, MDPI, vol. 14(11), pages 1-30, May.
    3. Grilli, Gianluca & Fratini, Roberto & Marone, Enrico & Sacchelli, Sandro, 2020. "A spatial-based tool for the analysis of payments for forest ecosystem services related to hydrogeological protection," Forest Policy and Economics, Elsevier, vol. 111(C).
    4. Massimiliano Agovino & Massimiliano Cerciello & Aniello Ferraro & Antonio Garofalo, 2022. "A Regional Perspective on Social Exclusion in European Regions: Context, Trends and Policy Implications," Italian Economic Journal: A Continuation of Rivista Italiana degli Economisti and Giornale degli Economisti, Springer;Società Italiana degli Economisti (Italian Economic Association), vol. 8(2), pages 409-433, July.
    5. Orwa Al-Abdulla & Abdulkarim Ekzayez & Agneta Kallström & Camilo Valderrama & Maher Alaref & Jussi Kauhanen, 2023. "Health system recovery in Northwest Syria–challenges and operationalization," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-10, December.
    6. Cho, Sun Mi & Park, Chan-ung & Song, Min, 2020. "The evolution of social health research topics: A data-driven analysis," Social Science & Medicine, Elsevier, vol. 265(C).
    7. David D. Cho & Kurt M. Bretthauer & Jan Schoenfelder, 2023. "Patient-to-nurse ratios: Balancing quality, nurse turnover, and cost," Health Care Management Science, Springer, vol. 26(4), pages 807-826, December.
    8. Agovino, Massimiliano & Cerciello, Massimiliano & Musella, Gaetano, 2021. "Campania and cancer mortality: An inseparable pair? The role of environmental quality and socio-economic deprivation," Social Science & Medicine, Elsevier, vol. 287(C).
    9. Hassan Alassafi & Khalid S. Al-Gahtani & Abdulmohsen S. Almohsen, 2023. "Medical Gas Systems Maintainability Risks in Healthcare Facilities: A Design Optimization Approach," Sustainability, MDPI, vol. 15(12), pages 1-16, June.
    10. Soltanisehat, Leili & González, Andrés D. & Barker, Kash, 2023. "Modeling social, economic, and health perspectives for optimal pandemic policy decision-making," Socio-Economic Planning Sciences, Elsevier, vol. 86(C).
    11. Furstenau, Leonardo Bertolin & Zani, Carolina & Terra, Stela Xavier & Sott, Michele Kremer & Choo, Kim-Kwang Raymond & Saurin, Tarcisio Abreu, 2022. "Resilience capabilities of healthcare supply chain and supportive digital technologies," Technology in Society, Elsevier, vol. 71(C).
    12. Paschoalotto, Marco Antonio Catussi & Lazzari, Eduardo Alves & Rocha, Rudi & Massuda, Adriano & Castro, Marcia C., 2023. "Health systems resilience: is it time to revisit resilience after COVID-19?," Social Science & Medicine, Elsevier, vol. 320(C).
    13. Kimhi, Shaul & Marciano, Hadas & Eshel, Yohanan & Adini, Bruria, 2020. "Resilience and demographic characteristics predicting distress during the COVID-19 crisis," Social Science & Medicine, Elsevier, vol. 265(C).
    14. Ciardiello, Francesco & Di Lorenzo, Emilia & Menzietti, Massimiliano & Sibillo, Marilena, 2024. "Securitization for common health," Socio-Economic Planning Sciences, Elsevier, vol. 93(C).
    15. Di Tommaso, Marco R. & Prodi, Elena & Pollio, Chiara & Barbieri, Elisa, 2023. "Conceptualizing and measuring “industry resilience”: Composite indicators for postshock industrial policy decision-making," Socio-Economic Planning Sciences, Elsevier, vol. 85(C).
    16. Xiaoyu Li & Jingxi Peng & Dongying Li & Robert D. Brown, 2023. "A Framework for Evidence-Based Landscape Architecture: Cooling a Hot Urban Climate through Design," Sustainability, MDPI, vol. 15(3), pages 1-18, January.
    17. Olga A. Chernova, 2023. "The Resilience of Russia's Regions in the Conditions of Recovery Growth: Bouncing Forward or Bouncing Back?," Journal of Applied Economic Research, Graduate School of Economics and Management, Ural Federal University, vol. 22(2), pages 381-403.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:soceps:v:84:y:2022:i:c:s0038012122001847. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/seps .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.