Using Fuzzy Cost‐Based FMEA, GRA and Profitability Theory for Minimizing Failures at a Healthcare Diagnosis Service

This paper proposes an integrated approach to identify, evaluate and improve the potential failures in a service setting. This integrated approach combines Fuzzy cost-based service-specific FMEA (FCS-FMEA), Grey Relational Analysis (GRA) and profitability theory for better prioritization of the service failures by considering cost as an important issue and using the profitability theory in a way that the corrective actions costs are taken into account. Considering profitability with FCS-FMEA and GRA reduces the losses caused by failure occurrence. Besides, a maximization linear mathematical problem is used to select the best mix of failures to be repaired. We apply our approach to an academic example concerning the potential failures diagnosis of the Internal Medicine service of a hospital located in Seoul, Korea. We applied our approach and solved the associated maximization problem by a commercial solver, producing an optimal solution which indicates the most convenient mix of failures to be repaired by considering available budget. Copyright © 2013 John Wiley & Sons, Ltd.

[1]  Yongtae Park,et al.  A systematic approach for diagnosing service failure: Service-specific FMEA and grey relational analysis approach , 2011, Math. Comput. Model..

[2]  Stefan Michel Analyzing service failures and recoveries: a process approach , 2001 .

[3]  J. B. Bowles,et al.  Fuzzy logic prioritization of failures in a system failure mode, effects and criticality analysis , 1995 .

[4]  Hsin-Hung Wu,et al.  A Comparative Study of Using Grey Relational Analysis in Multiple Attribute Decision Making Problems , 2002 .

[5]  J. Deng,et al.  Introduction to Grey system theory , 1989 .

[6]  Seung J. Rhee,et al.  Using cost based FMEA to enhance reliability and serviceability , 2003, Adv. Eng. Informatics.

[7]  Randell L. Mills,et al.  Novel method and system for pattern recognition and processing using data encoded as Fourier series in Fourier space , 2006, Eng. Appl. Artif. Intell..

[8]  Chiu-Chi Wei,et al.  FAILURE MODE AND EFFECTS ANALYSIS USING FUZZY METHOD AND GREY THEORY , 1999 .

[9]  Chiu-Chi Wei,et al.  Failure mode and effects analysis using grey theory , 2001 .

[10]  A. Parasuraman,et al.  A Conceptual Model of Service Quality and Its Implications for Future Research , 1985 .

[11]  H. Schneider Failure mode and effect analysis : FMEA from theory to execution , 1996 .

[12]  Sellappan Narayanagounder,et al.  A New Approach for Prioritization of Failure Modes in Design FMEA using ANOVA , 2009 .

[13]  I. Roos Switching Processes in Customer Relationships , 1999 .

[14]  Jih Kuang Chen Utility Priority Number Evaluation for FMEA , 2007 .

[15]  Pao-Tiao Chuang Combining Service Blueprint and FMEA for Service Design , 2007 .

[16]  Chensong Dong Failure mode and effects analysis based on fuzzy utility cost estimation , 2007 .

[17]  Afshin Jamshidi,et al.  A Fuzzy Cost-based FMEA Model , 2010 .

[18]  Gionata Carmignani,et al.  An integrated structural framework to cost-based FMECA: The priority-cost FMECA , 2009, Reliab. Eng. Syst. Saf..

[19]  Stephen S. Tax,et al.  Recovering and Learning from Service Failure , 1998 .

[20]  F. Reichheld LEARNING FROM CUSTOMER DEFECTIONS , 1996 .

[21]  Mark A. Davis,et al.  Antecedents to customer expectations for service recovery , 1994 .

[22]  C. Boshoff An experimental study of service recovery options , 1997 .

[23]  Janis L. Miller,et al.  Service recovery: a framework and empirical investigation , 2000 .

[24]  José Luis Míguez,et al.  Use of grey relational analysis to assess and optimize small biomass boilers , 2006 .

[25]  Ruth N. Bolton,et al.  A Model of Customer Satisfaction with Service Encounters Involving Failure and Recovery , 1999 .

[26]  Rüdiger Wirth,et al.  Knowledge-based support of system analysis for the analysis of Failure modes and effects , 1996 .

[27]  A. Parasuraman,et al.  Prescriptions for a service quality revolution in America , 1992 .

[28]  Barrie Dale,et al.  Failure mode and effects analysis in the U.K. motor industry: A state-of-the-art study , 1990 .

[29]  A. Saltelli,et al.  Reliability Engineering and System Safety , 2008 .

[30]  Jin Wang,et al.  Modified failure mode and effects analysis using approximate reasoning , 2003, Reliab. Eng. Syst. Saf..

[31]  Willy W. Vandenbrande,et al.  How to Use FMEA to Reduce the Size of Your Quality Toolbox , 1998 .