An evaluation of the risk factors associated with implementing projects of health information technology by fuzzy combined ANP-DEMATEL

Abstract

Background Application of a Clinical Information System (CIS) like Electronic Patient Record (EPR), PACS system and CPOE has turned into one of the most important criteria of priorities of health care systems. The aims of the clinical information system include improving the physicians’ efficiency level, integrating the caring process, and expanding the fuzzy quality of the services offered to patients. Achievement of these benefits in reality is not an easy task, and there are lots of plans in this field which are doomed to failure. About 50% of the implementation plans of clinical information systems in health care organizations have failed, and this trend is significantly affecting industrial countries. Proper implementation of hospital information systems lies in identifying and assessing the relationships among the most important risk factors of fuzzy. The present study aimed to provide an applicable model for identifying, ranking and evaluating the risk factors associated with projects of clinical information technology in hospitals of Shiraz University of Medical Sciences. Method This is an applied study which evaluates the risk factors associated with implementation of clinical information technology projects in hospitals of Shiraz Medical Sciences University. The participants consisted of professionals and senior experts of clinical information technology. Fuzzy logic was used in this study. We also applied ANP-DEMATEL combined model with fuzzy procedure to provide the analytic model of the study Results According to the study findings, lack of top-executive supports, and unstable organizational environment were the two most important risk factors, while the main organizational factors and technology were also highly important. In addition, the factors associated with technology had the highest influence on the other studied risk factors. Conclusion Hospital authorities can benefit from this proposed model to reduce the risk of implementing the projects of clinical information technology and improve the success coefficient of the risk of such projects.

A Framework for Improving Patient Satisfaction by Reducing the Length of Stay in The Operation Suite Using the Combined DEMATEL-ANP Model

“…In the existing conditions, applying DEMATL and ANP revealed that the most influential factors on patients' operating suite LOS in order of significance are the main surgical procedure, surgical set preparation, patient pre-op waiting time, anesthesia, and patient preparation, respectively. In the other studies, Göncü and Çetin [ 30] developed a model by using the DEMATEL and ANP to select supplier in the health care, and Sharifian et al, [31] employed ANP-DEMTEL combined approach to evaluate the risks of implementing the projects of clinical information technology in hospitals. As seen in Table 5, the identification of factors using the AAA method has resulted in significantly better outcomes.…”

“…Sharifian et al, [31] conducted an applied study that evaluates the risk factors related to the implementation of clinical information technology projects in the hospital. Fuzzy logic was used in this study.…”

Exploring determinants of formation of cognitive anchors from altruistic messages: A fuzzy DEMATEL approach

“…F-DEMATEL provides insights into how factors earmarked for decision making can be prioritized as with other multi-criteria decision methods. This study used the F-DEMATEL method because it can illustrate the causal relationships among the factors while overcoming ambiguity, subjectivity, and uncertainty, which are typical in many decision settings [ 68 ]. Whereas other variations of DEMATEL, such as Grey DEMATEL, could also be utilized, these approaches primarily focus on solving problems in systems with inadequate information or imprecise data [ 69 – 72 ].…”

“…This study assessed relationships among unclear criteria involving linguistic variables and qualitative data. Coupled with the need to minimize the subjectivity of experts in the rating process [ 19 , 68 ], the researchers applied the F-DEMATEL method in this study. The results provide insights into which factors ought to be prioritized if altruistic messages are to be anchored by their recipients.…”

Solution for Convergence Problem in DEMATEL Method: DEMATEL of Finite Sum of Influences

“…It is especially useful in analyzing the causeand-effect relationships between factors of the system and also to find the critical factors of a system [10]. DEMATEL has received a great deal of attention, and it is a widely used method in various fields, such as engineering [11,12], management sciences [13,14], medicine [15], COVID-19 [16][17][18], energy [19,20], urbanization [21,22], ecology [23,24], and others. It is also one of suitable methods to deal with the degree of importance of evaluation factors and to determine the cause-effect relationships between factors [25].…”