Numerical Values for the Environmental Factors’ Influence on Surgeons’ Technical Performance Decrement: Spherical Fuzzy-SWARA Approach
Background: Surgical practices are critical activities within healthcare systems, and when human error (HE) occurs, the consequences can be irreparable. However, the literature on HE quantification reveals significant gaps in both structural and methodological approaches. This study aimed to suggest...
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Shiraz University of Medical Sciences
2025-01-01
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Series: | Journal of Health Sciences and Surveillance System |
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Online Access: | https://jhsss.sums.ac.ir/article_50675_1d46df21d7816e85c53575f9e3baf371.pdf |
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author | Khalil Taherzadeh Chenani Somayeh Bolghanabadi Zahra Zamanian Mohammad Hashemi |
author_facet | Khalil Taherzadeh Chenani Somayeh Bolghanabadi Zahra Zamanian Mohammad Hashemi |
author_sort | Khalil Taherzadeh Chenani |
collection | DOAJ |
description | Background: Surgical practices are critical activities within healthcare systems, and when human error (HE) occurs, the consequences can be irreparable. However, the literature on HE quantification reveals significant gaps in both structural and methodological approaches. This study aimed to suggest a new taxonomy of environmental influencing factors (EIFs) that impact surgeons’ technical performance.Methods: In this cross-sectional study, EIFs related to the operating room were selected by reviewing various literature. Structured expert judgment elicitation was used to validate the EIFs under consideration. The weight and negative impact rate of the EIFs during surgical processes on surgeons were quantified using the spherical fuzzy-SWARA (Step-wise Weight Assessment Ratio Analysis) method and an elevenpoint numerical scale, respectively. Questionnaires from expert surgeons were employed to quantify the weight and negative impact rate of the EIFs.Results: The taxonomy of nine EIFs was validated through individual interviews with surgeons from three regional hospitals. The ranking of the influence of EIFs showed some conflicts regarding weight and negative impact rate. Specifically, climate conditions and music received the highest and lowest grades in both weight and negative impact rates.Conclusion: The current study offers an original contribution to developing a new taxonomy based on domain-specific knowledge. The proposed EIFs taxonomy illustrates how surgeons’ reliability can be degraded qualitatively and quantitatively. Furthermore, the results could enhance patient safety programs in the operating room. |
format | Article |
id | doaj-art-ccd5301472734ed1a3654f23c617c6ef |
institution | Kabale University |
issn | 2345-2218 2345-3893 |
language | English |
publishDate | 2025-01-01 |
publisher | Shiraz University of Medical Sciences |
record_format | Article |
series | Journal of Health Sciences and Surveillance System |
spelling | doaj-art-ccd5301472734ed1a3654f23c617c6ef2025-02-02T06:03:20ZengShiraz University of Medical SciencesJournal of Health Sciences and Surveillance System2345-22182345-38932025-01-01131909910.30476/jhsss.2024.100462.183750675Numerical Values for the Environmental Factors’ Influence on Surgeons’ Technical Performance Decrement: Spherical Fuzzy-SWARA ApproachKhalil Taherzadeh Chenani0Somayeh Bolghanabadi1Zahra Zamanian2Mohammad Hashemi3Student Research Committee, Shiraz University of Medical Sciences, Shiraz, IranStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Occupational Health and Safety Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, IranStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, IranBackground: Surgical practices are critical activities within healthcare systems, and when human error (HE) occurs, the consequences can be irreparable. However, the literature on HE quantification reveals significant gaps in both structural and methodological approaches. This study aimed to suggest a new taxonomy of environmental influencing factors (EIFs) that impact surgeons’ technical performance.Methods: In this cross-sectional study, EIFs related to the operating room were selected by reviewing various literature. Structured expert judgment elicitation was used to validate the EIFs under consideration. The weight and negative impact rate of the EIFs during surgical processes on surgeons were quantified using the spherical fuzzy-SWARA (Step-wise Weight Assessment Ratio Analysis) method and an elevenpoint numerical scale, respectively. Questionnaires from expert surgeons were employed to quantify the weight and negative impact rate of the EIFs.Results: The taxonomy of nine EIFs was validated through individual interviews with surgeons from three regional hospitals. The ranking of the influence of EIFs showed some conflicts regarding weight and negative impact rate. Specifically, climate conditions and music received the highest and lowest grades in both weight and negative impact rates.Conclusion: The current study offers an original contribution to developing a new taxonomy based on domain-specific knowledge. The proposed EIFs taxonomy illustrates how surgeons’ reliability can be degraded qualitatively and quantitatively. Furthermore, the results could enhance patient safety programs in the operating room.https://jhsss.sums.ac.ir/article_50675_1d46df21d7816e85c53575f9e3baf371.pdfhuman reliabilityoperating roomphysical agentssurgical errorswork performance |
spellingShingle | Khalil Taherzadeh Chenani Somayeh Bolghanabadi Zahra Zamanian Mohammad Hashemi Numerical Values for the Environmental Factors’ Influence on Surgeons’ Technical Performance Decrement: Spherical Fuzzy-SWARA Approach Journal of Health Sciences and Surveillance System human reliability operating room physical agents surgical errors work performance |
title | Numerical Values for the Environmental Factors’ Influence on Surgeons’ Technical Performance Decrement: Spherical Fuzzy-SWARA Approach |
title_full | Numerical Values for the Environmental Factors’ Influence on Surgeons’ Technical Performance Decrement: Spherical Fuzzy-SWARA Approach |
title_fullStr | Numerical Values for the Environmental Factors’ Influence on Surgeons’ Technical Performance Decrement: Spherical Fuzzy-SWARA Approach |
title_full_unstemmed | Numerical Values for the Environmental Factors’ Influence on Surgeons’ Technical Performance Decrement: Spherical Fuzzy-SWARA Approach |
title_short | Numerical Values for the Environmental Factors’ Influence on Surgeons’ Technical Performance Decrement: Spherical Fuzzy-SWARA Approach |
title_sort | numerical values for the environmental factors influence on surgeons technical performance decrement spherical fuzzy swara approach |
topic | human reliability operating room physical agents surgical errors work performance |
url | https://jhsss.sums.ac.ir/article_50675_1d46df21d7816e85c53575f9e3baf371.pdf |
work_keys_str_mv | AT khaliltaherzadehchenani numericalvaluesfortheenvironmentalfactorsinfluenceonsurgeonstechnicalperformancedecrementsphericalfuzzyswaraapproach AT somayehbolghanabadi numericalvaluesfortheenvironmentalfactorsinfluenceonsurgeonstechnicalperformancedecrementsphericalfuzzyswaraapproach AT zahrazamanian numericalvaluesfortheenvironmentalfactorsinfluenceonsurgeonstechnicalperformancedecrementsphericalfuzzyswaraapproach AT mohammadhashemi numericalvaluesfortheenvironmentalfactorsinfluenceonsurgeonstechnicalperformancedecrementsphericalfuzzyswaraapproach |