Implementation of Intrahospital Transfer Strategy During COVID-19 and Identify Success Factors Based on DEMATEL Technique

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Ahmadinejad, Bahareh
Jalali, Alireza
Bahramian, Fatemeh
Shabani, Amir
Sherafati, Mohammadali
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2024
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Abstract

Background and Objectives: The COVID-19 pandemic caused a significant strain on world health care systems. The lack of trained and experienced staff was a complicated issue during the pandemic. To overcome insufficient staffing problems, the intrahospital transfer (IHT) strategy was implemented at Milad Hospital in Tehran during COVID-19. We evaluated the effectiveness of the IHT strategy in order to determine whether the strategy should be continued post-COVID.

Methods: Six supervisors with experience in COVID-19 wards and the IHT strategy were consulted to identify the advantages of continuing the IHT strategy and to evaluate the success and continuation of IHT factors. Then, the decision-making trial and evaluation laboratory (DEMATEL) method was used to establish a network of influence relationships among IHT strategy factors’ success.

Results: The result showed that all criteria except increasing patient satisfaction (C1) and reducing waste of time (C8) are cause-and-effect criteria that affected other criteria.

Conclusion: The research findings have implications for improving the day-to-day experience of staff navigating transfers of patients between wards and paraclinic units. This study also highlights the theoretical value of the cross-disciplinary integration of medical decision issues and multiple-attribute decision-making methodologies.

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Quality Management in Health Care

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This publication has been entered in Griffith Research Online as an advance online version.

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Health policy

Epidemiology

Health services and systems

Nursing

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Ahmadinejad, B; Jalali, A; Bahramian, F; Shabani, A; Sherafati, M, Implementation of Intrahospital Transfer Strategy During COVID-19 and Identify Success Factors Based on DEMATEL Technique, Quality Management in Health Care, 2024

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