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...

Full description

Saved in:
Bibliographic Details
Main Authors: Khalil Taherzadeh Chenani, Somayeh Bolghanabadi, Zahra Zamanian, Mohammad Hashemi
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2025-01-01
Series:Journal of Health Sciences and Surveillance System
Subjects:
Online Access:https://jhsss.sums.ac.ir/article_50675_1d46df21d7816e85c53575f9e3baf371.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832572972071649280
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