Risk-adjusted control charts based on LR-fuzzy data

Control charts are widely used in industrial processes as well as in health sciences and particularly for monitoring the performance of cardiac surgeon or a group of surgeons based on the preoperative risk of patients. Since the preoperative risk is a vague and nonprecise variable and the anesthesiologists after checking how many risk factors a patient has, determine the risk of mortality before the surgery as a linguistic term such as low, medium, high or others like that, it is better to be considered as a fuzzy number, which can be determined by using fuzzy regression models. In this condition, we need a special chart to monitor the performance of surgeons based on these fuzzy data. In this article, we propose risk-adjusted control charts based on LR-fuzzy data and then test our conclusions on real data.

Keywords:

Preoperative risk , surgical outcomes , monitoring performance , risk-adjusted control charts , Fuzzy logistic regression