Risk Prioritization Using the Analytic Hierarchy Process (AHP) in a Tunisian Healthcare Department: A Real-World Case Study

• Authors: Ben Moallem Marwa , Derbel Chema , Ammar Mohamed Haykal , Béji Noura , Dhouib Diala
• Languages of publication: EN

Abstracts

EN

Nowadays, the Tunisian hospital environment is a complex organization in which the safety of the patient is of primary concern to the authorities. In our study we focus on the Obstetrics and Gynecology Department of CHU of Sfax. It should be noted that no risk management study dealt with the hospital logistic chain in this institution. Hence, the purpose of this paper is to develop a strategy targeting the control of risks related to the patient care activities. The proposed approach consists of two phases. First, a qualitative survey, based on 20 semi-structured interviews, is carried out to identify the problems related to care and logistic activities of the Obstetrics and Gynecology Department in CHU Sfax. Second, the assessment of the identified risks in the hospital context is a multicriteria decision problem. To perform the evaluation of the 12 objectives depending on the identified risks, we have chosen the AHP (Analytic Hierarchy Process) for its simplicity and flexibility. The results of this study revealed a complexity of coordination between basic and peripheral services due to several factors. Moreover, the interviewees highlighted the importance of developing a risk management strategy in the Obstetrics and Gynecology Department of Sfax. Finally, we proposed to apply our research in other services of the hospital to control other kinds of risk.

Keywords

EN

Analytic Hierarchy Process; Obstetrics department; Prioritization; Semi-structured interviews

PL

Analytic Hierarchy Process; Oddział położniczy; Priorytetyzacja; Wywiady półstrukturalne,

• Publisher: Uniwersytet Ekonomiczny w Katowicach
• Journal: Multiple Criteria Decision Making
• Year: 2018
• Volume: 13
• Pages: 9-28

Contributors

author

Ben Moallem Marwa

• University of Sfax. Institut Supérieur de Gestion Industrielle. Research unit LOGIQ. Digital Research Center of Sfax,

author

Derbel Chema

• University of Sfax. Institut Supérieur de Gestion Industrielle. Research unit LOGIQ. Digital Research Center of Sfax,

author

Ammar Mohamed Haykal

• University of Sfax. Institut Supérieur de Gestion Industrielle. Research unit LOGIQ. Digital Research Center of Sfax,

author

Béji Noura

• University of Sfax. Institut Supérieur de Gestion Industrielle. Research unit LOGIQ

author

Dhouib Diala

• University of Sfax. Institut Supérieur de Gestion Industrielle. Research unit LOGIQ

References

• Ammar M.H., Benaissa M., Chabchoub H. (2014), Seafaring Staff Scheduling, International Journal of Services and Operations Management, 19(2), 21.
• Baltussen R., Niessen L. (2006), Priority Setting of Health Interventions: The Need for Multi-criteria Decision Analysis, Cost Effectiveness and Resource Allocation, 9, 1-9.
• Ben Kahla-Touil I. (2012), Gestion des risques et aide à la décision dans la chaîne logistique hospitalière: Cas des blocs opératoires du CHU Sahloul, Pres Université Lille Nord-de-France.
• Cordina-Duverger E. (2015), Facteurs de risques hormonaux et anthropométriques dans le cancer du sein de la femme: Étude CECILE, Université Paris Sud.
• Cridelich C. (2012), Management du risque à l’hôpital: èvaluation d’une nouvelle méthode d’analyse du risque appliquée à la prise en charge du patient par chimiothérapie, Ecole Nationale Supérieure des Mines de Paris.
• Didem Z., Durmus U. (2018), Technology in Society Assessment of Techno-entrepreneurship Projects by Using Analytical Hierarchy Process (AHP), Technology in Society, 1-6, https://doi.org/10.1016/j.techsoc.2018.02.001.
• Nolin S., Decourt J.-P., Bourlaud I., Druet J. (2016), État des lieux de la prévention du risque cytotoxique au centre hospitalier de Niort: Étude préliminaire dans le service de pneumologie, Elsevier, 77(5), 766-771, https://doi.org/10.1016/j.admp.2016.02.005.
• Razurel A., Bertrand É., Deranlot J., Benhamou F., Tritz T., Le Mercier F., Hardy P. (2015), Sécurisation de la prise en charge médicamenteuse: Cartographie des risques a priori au sein du service de chirurgie orthopédique, Annales Pharmaceutiques Françaises, 73(6), 482-493, https://doi.org/10.1016/j.pharma.2015.04.004.
• Renet S., Maritaz C., Lotz J.P., Burnel S., Paubel P. (2016), Parcours de soins: Modélisation et analyse des risques induits par les anticancéreux oraux, Bulletin Du Cancer, 103(4), 345-352, https://doi.org/10.1016/j.bulcan.2015.12.001.
• Roche D. (2009), Réaliser une étude de marché avec succès, Editions d’Organisation, Paris.
• Thokala P., Devlin N., Marsh K., Baltussen R., Boysen M., Kalo Z., Peacock S. (2016), Multiple Criteria Decision Analysis for Health Care Decision Making An Introduction: Report 1 of the ISPOR MCDM Emerging Good Practices Task Force, Value in Health, 1-13.
• Velasquez M., Hester P.T. (2013), An Analysis of Multi-Criteria Decision Making Methods, International Journal of Operations Research, 10(2), 58-59.
• Veyrier M., Bachalat N., Guenegou A.L., Anne B., Leglise P., Huchon Becel D. (2016), Sécurisation de la prise en charge médicamenteuse des patients âgés pendant les permissions de sortie, Annales Pharmaceutiques Françaises, 74(3), 212-221, https://doi.org/10.1016/j.pharma.2015.10.001.
• Weber K., Beck M., Rybarczyk-Vigouret M.C., Michel B. (2015), Cartographie des risques liés à la prise en charge médicamenteuse en EHPAD: État des lieux en région Alsace France, Revue d’Epidemiologie et de Sante Publique, 63(3), 163-172, https://doi.org/10.1016/j.respe.2015.03.123.

Identifiers

ISSN

2084-1531