Assessment of the organizational factors in incident management practices in healthcare: A tree augmented Naive Bayes model.

Despite the exponential transformation occurring in the healthcare industry, operational failures pose significant challenges in the delivery of safe and efficient care. Incident management plays a crucial role in mitigating these challenges; however, it encounters limitations due to organizational factors within complex and dynamic healthcare systems. Further, there are limited studies examining the interdependencies and relative importance of these factors in the context of incident management practices. To address this gap, this study utilized aggregate-level hospital data to explore the influence of organizational factors on incident management practices. Employing a Bayesian Belief Network (BBN) structural learning algorithm, Tree Augmented Naive (TAN), this study assessed the probabilistic relationships, represented graphically, between organizational factors and incident management. Significantly, the model highlighted the critical roles of morale and staff engagement in influencing incident management practices within organizations. This study enhances our understanding of the importance of organizational factors in incident management, providing valuable insights for healthcare managers to effectively prioritize and allocate resources for continuous quality improvement efforts.

Evaluating Drivers of the Patient Experience Triangle: Stress, Anxiety, and Frustration.

Patient experience is a widely used indicator for assessing the quality-of-care process during a patient's journey in hospital. However, the literature rarely discusses three components: patient stress, anxiety, and frustration. Furthermore, little is known about what drives each component during hospital visits. In order to explore this, we utilized data from a patient experience survey, including patient- and provider-related determinants, that was administered at a local hospital in Abu Dhabi, UAE. A machine-learning-based random forest (RF) algorithm, along with its embedded importance analysis function feature, was used to explore and rank the drivers of patient stress, anxiety, and frustration throughout two stages of the patient journey: registration and consultation. The attribute 'age' was identified as the primary patient-related determinant driving patient stress, anxiety, and frustration throughout the registration and consultation stages. In the registration stage, 'total time taken for registration' was the key driver of patient stress, whereas 'courtesy demonstrated by the registration staff in meeting your needs' was the key driver of anxiety and frustration. In the consultation step, 'waiting time to see the doctor/physician' was the key driver of both patient stress and frustration, whereas 'the doctor/physician was able to explain your symptoms using language that was easy to understand' was the main driver of anxiety. The RF algorithm provided valuable insights, showing the relative importance of factors affecting patient stress, anxiety, and frustration throughout the registration and consultation stages. Healthcare managers can utilize and allocate resources to improve the overall patient experience during hospital visits based on the importance of patient- and provider-related determinants.

Nexus between drivers of COVID-19 and country risks.

COVID-19 has disrupted all spheres of life, including country risk regarding the exposure of economies to multi-dimensional risk drivers. However, it remains unexplored how COVID-19 has impacted different drivers of country risk in a probabilistic network setting. This paper uses two datasets on country-level COVID-19 and country risks to explore dependencies among associated drivers using a Bayesian Belief Network model. The drivers of COVID-19 risk, considered in this paper, are hazard and exposure, vulnerability and lack of coping capacity, whereas country risk drivers are economic, financing, political, business environment and commercial risks. The results show that business environment risk is significantly influenced by COVID-19 risk, whereas commercial risk (demand disruptions) is the least important factor driving COVID-19 and country risks. Further, country risk is mainly influenced by financing, political and economic risks. The contribution of this study is to explore the impact of various drivers associated with the country-level COVID-19 and country risks in a unified probabilistic network setting, which can help policy-makers prioritize drivers for managing the two risks.

Adoption of a Data-Driven Bayesian Belief Network Investigating Organizational Factors that Influence Patient Safety.

Medical errors pose high risks to patients. Several organizational factors may impact the high rate of medical errors in complex and dynamic healthcare systems. However, limited research is available regarding probabilistic interdependencies between the organizational factors and patient safety errors. To explore this, we adopt a data-driven Bayesian Belief Network (BBN) model to represent a class of probabilistic models, using the hospital-level aggregate survey data from U.K. hospitals. Leveraging the use of probabilistic dependence models and visual features in the BBN model, the results shed new light on relationships existing among eight organizational factors and patient safety errors. With the high prediction capability, the data-driven approach results suggest that "health and well-being" and "bullying and harassment in the work environment" are the two leading factors influencing the number of reported errors and near misses affecting patient safety. This study provides significant insights to understand organizational factors' role and their relative importance in supporting decision-making and safety improvements.

Prioritizing Multidimensional Interdependent Factors Influencing COVID-19 Risk.

COVID-19 has significantly affected various industries and domains worldwide. Since such pandemics are considered as rare events, risks associated with pandemics are generally managed through reactive approaches, which involve seeking more information about the severity of the pandemic over time and adopting suitable strategies accordingly. However, policy-makers at a national level must devise proactive strategies to minimize the harmful impacts of such pandemics. In this article, we use a country-level data-set related to humanitarian crises and disasters to explore critical factors influencing COVID-19 related hazard and exposure, vulnerability, lack of coping capacity, and the overall risk for individual countries. The main contribution is to establish the relative importance of multidimensional factors associated with COVID-19 risk in a probabilistic network setting. This study provides unique insights to policy-makers regarding the identification of critical factors influencing COVID-19 risk and their relative importance in a network setting.

COVID-19 pandemic: Supply chain risk management by integrating Interpretive Structural Modeling and Bayesian belief network.

The paper proposes a theoretical framework, based on a literature review, that analyzes the links between COVID-19 impacts and supply chain risk mitigation strategies, investigating the role of digitalization as a potential key resource to improve the effectiveness of supply chain resilience. Then, the paper empirically tests the framework through a hybrid causal mapping technique using the frameworks of Interpretive Structural Modelling and Bayesian Belief Networks methods to support supply chain decision making approaches. The findings of this paper can support managers in developing simple and traciable models for assessing interdependences among supply chain disruption sources and to invest effectively in resilience strategies.

Exploring Probabilistic Network-Based Modeling of Multidimensional Factors Associated with Country Risk.

Assessment of country risk provides a vital source of information to organizations for expanding and globalizing their operations. Various rating agencies are involved in developing models for assessing country risk, which utilize different statistical techniques for establishing the overall impact of individual factors on country risk. The main limitation of existing studies on country risk is their limited focus on exploring the relative contribution of individual factors to country risk in a probabilistic network setting. Utilizing real data, we develop a probabilistic network model that captures dependencies among multidimensional factors associated with country risk. Further, we assess the network-wide vulnerability and resilience potential of individual factors to identify critical factors. The findings of this study provide policy-makers with some unique insights into prioritizing strategies to mitigate country risk. Further, this study provides the context for multinational enterprises to utilize the proposed methodology for prioritizing key factors associated with the relative variables of interest such as regional stability and business environment among others.

Performance analysis of a semiactive suspension system with particle swarm optimization and fuzzy logic control.

This paper uses a quarter model of an automobile having passive and semiactive suspension systems to develop a scheme for an optimal suspension controller. Semi-active suspension is preferred over passive and active suspensions with regard to optimum performance within the constraints of weight and operational cost. A fuzzy logic controller is incorporated into the semi-active suspension system. It is able to handle nonlinearities through the use of heuristic rules. Particle swarm optimization (PSO) is applied to determine the optimal gain parameters for the fuzzy logic controller, while maintaining within the normalized ranges of the controller inputs and output. The performance of resulting optimized system is compared with different systems that use various control algorithms, including a conventional passive system, choice options of feedback signals, and damping coefficient limits. Also, the optimized semi-active suspension system is evaluated for its performance in relation to variation in payload. Furthermore, the systems are compared with respect to the attributes of road handling and ride comfort. In all the simulation studies it is found that the optimized fuzzy logic controller surpasses the other types of control.