Leanness evaluation in health-care organizations using fuzzy logic approach

Circular economy of medical waste: novel intelligent medical waste management framework based on extension linear Diophantine fuzzy FDOSM and neural network approach

Environmental pollution has been a major concern for researchers and policymakers. A number of studies have been conducted to enquire the causes of environmental pollution which suggested numerous policies and techniques as remedial measures. One such major source of environmental pollution, as reported by previous studies, has been the garbage resulting from disposed hospital wastes. The recent outbreak of the COVID-19 pandemic has resulted into mass generation of medical waste which seems to have further deteriorated the issue of environmental pollution. This necessitates active attention from both the researchers and policymakers for effective management of medical waste to prevent the harm to environment and human health. The issue of medical waste management is more important for countries lacking sophisticated medical infrastructure. Accordingly, the purpose of this study is to propose a novel application for identification and classification of 10 hospitals in Iraq which generated more medical waste during the COVID-19 pandemic than others in order to address the issue more effectively. We used the Multi-Criteria Decision Making (MCDM) method to this end. We integrated MCDM with other techniques including the Analytic Hierarchy Process (AHP), linear Diophantine fuzzy set decision by opinion score method (LDFN-FDOSM), and Artificial Neural Network (ANN) analysis to generate more robust results. We classified medical waste into five categories, i.e., general waste, sharp waste, pharmaceutical waste, infectious waste, and pathological waste. We consulted 313 experts to help in identifying the best and the worst medical waste management technique within the perspectives of circular economy using the neural network approach. The findings revealed that incineration technique, microwave technique, pyrolysis technique, autoclave chemical technique, vaporized hydrogen peroxide, dry heat, ozone, and ultraviolet light were the most effective methods to dispose of medical waste during the pandemic. Additionally, ozone was identified as the most suitable technique among all to serve the purpose of circular economy of medical waste. We conclude by discussing the practical implications to guide governments and policy makers to benefit from the circular economy of medical waste to turn pollutant hospitals into sustainable ones.

Readiness for lean-sustainability in start-ups during the COVID-19 era

Purpose

This study aims to “identify”, “analyse” and “categorise” the lean-sustainability enablers for start-ups during the COVID-19 epidemic using total interpretive structural modelling (TISM).

Design/methodology/approach

A closed-ended questionnaire was used to collect data in addition to the scheduled interview. The TISM methodology is used to determine how the variables interact, and the matrice d’Impacts croises-multiplication applique´ a classement (MICMAC) method is used to rank and categorise the lean-sustainability enablers.

Findings

This study identified ten lean-sustainability enablers for start-ups during the COVID-19 pandemic. The study says that the key factors are leadership and managerial commitment, implementation of employee skills and abilities, strategic need, personnel engagement and financial ability.

Research limitations/implications

The study focused primarily on lean-sustainability characteristics for start-ups.

Practical implications

This research will aid key stakeholders and academics in better understanding the factors that contribute to lean-sustainability in start-ups.

Originality/value

This study proposes the TISM technique for start-ups, which is a novel attempt in the subject of lean-sustainability in this industry.

Benchmarking Industry 4.0 readiness evaluation using fuzzy approaches

Purpose

The purpose is to assess Industry 4.0 (I4.0) readiness index using fuzzy logic and multi-grade fuzzy approaches in an automotive component manufacturing organization.

Design/methodology/approach

I4.0 implies fourth industrial revolution that necessitates vital challenges to be dealt with. In this viewpoint, this article presents the evaluation of I4.0 Readiness Index. The evaluation includes two levels with appropriate criteria and factors. Fuzzy logic approach is used for assessment. Furthermore, the results obtained from fuzzy logic have been benchmarked with multi-grade fuzzy approach.

Findings

The proposed assessment model has successfully utilized fuzzy logic approach for assessment of I4.0 readiness index of automotive component manufacturing organization. Based on fuzzy logic approach, readiness index of I4.0 has been found to be (4.74, 6.26, 7.80) which is further benchmarked using multi-grade fuzzy approach. Industry 4.0 readiness index obtained from multi-grade fuzzy approach is 6.258 and thus, validated. Furthermore, 20 weaker areas have been identified and improvement suggestions are provided.

Research limitations/implications

The assessment module include two levels (Six Criteria and 50 Factors). The assessment model could be expanded based on advancements in industrial developments. Therefore, future researchers could utilize findings of the readiness model to further develop multi-level assessment module for Industry 4.0 readiness in organization. The developed readiness model helped researchers in understanding the methodology to assess I4.0 readiness of organization.

Practical implications

The model has been tested with reference to automotive component manufacturing organization and hence the inferences derived have practical relevance. Furthermore, the benchmarking strategy adopted in the present study is simple to understand that makes the model unique and could be applied to other organizations. The results obtained from the study reveal that fuzzy logic-based readiness model is efficient to assess I4.0 readiness of industry.

Originality/value

The development of model for I4.0 readiness assessment and further analysis is the original contribution of the authors. The developed fuzzy logic based I4.0 readiness model indicated the readiness level of an organization using I4RI. Also, the model provided weaker areas based on FPII values which is essential to improve the readiness of organization that already began with the adoption of I4.0 concepts. Further modification in the readiness model would help in enhancing I4.0 readiness of organization. Moreover, the benchmarking strategy adopted in the study i.e. MGF would help to validate the computed I4.0 readiness.