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1.
Multicriteria risk evaluation model : utilizing fuzzy logic for improved transparency and quality of risk evaluation in healthcare
Rok Drnovšek, Marija Milavec Kapun, Simona Šteblaj, Uroš Rajkovič, 2025, original scientific article

Abstract: Introduction: Risk management is essential for quality assurance in modern healthcare organizations. Risk matrices are widely used to evaluate risks in healthcare settings; however, this approach has noteworthy weaknesses and limitations. This paper introduces a novel risk evaluation model that utilizes multicriteria decision-making and fuzzy logic, to enhance the transparency and quality of the risk evaluation process in healthcare. Methods: The Multicriteria Evaluation Model was developed using the Decision Expert method and expert knowledge integration. Fuzzy logic was integrated within the model, using partial degrees of membership and probabilistic analysis, to address uncertainties inherent to healthcare risk evaluation. The evaluation model was tested with healthcare professionals active in the field of risk management in clinical practice and compared with the risk matrix. Results: The designed evaluation model utilizes multicriteria decision-making while encompassing the risk matrix framework to boost user understanding and enable meaningful comparison of results. Compared with the risk matrix, the model provided similar or marginally higher risk-level evaluations. The use of degrees of membership enables evaluators to articulate a wide range of plausible risk consequences, which are often overlooked or ambiguously addressed in the traditional risk matrix approach. Discussion and Conclusions: The evaluation model demonstrates increased transparency of the decision-making process and facilitates in-depth analysis of the evaluation results. The utilization of degrees of membership revealed distinct strategies for handling uncertainty among participants, highlighting the weaknesses of using single value evaluation approach for the presented and similar decision problems. The presented approach is not limited to healthcare-related risk evaluation, but has the capacity to improve risk evaluation practices in diverse settings
Keywords: multi-criteria decision-making, risk management, fuzzy logic, decision support, patient care, DEX
Published in DKUM: 01.12.2025; Views: 0; Downloads: 0
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2.
Navigating success : how decision–making transforms software performance into business performance in the logistics industry from an emerging country
Bukra Doganer Duman, Gültekin Altuntaş, 2025, original scientific article

Abstract: Background/Purpose: This study investigates the mediating role of decision–making performance in the link between software performance and overall business performance in the logistics sector of an emerging economy. As logistics companies increasingly rely on digital infrastructures, understanding how advanced systems contribute to strategic outcomes is critical for sustaining competitiveness. Methods: A conceptual framework was developed integrating ERP systems, big data analytics, and IoT applications. In this model, software performance is positioned as the independent variable, decision–making performance as the mediator, and business performance as the dependent variable. Data were collected from medium- and large–scale logistics firms and analyzed using regression and bootstrapping methods through SPSS and the PROCESS Macro. Results: The findings reveal that software performance significantly improves decision–making performance (β = 0.552, p < 0.01), which in turn has a strong positive effect on business performance (β = 0.817, p < 0.01). The mediation analysis confirms that decision–making performance mediates the effect of software performance on business outcomes. Conclusion: The results highlight the strategic importance of aligning digital capabilities with organizational decision processes. By demonstrating the mediating role of decision–making, the study highlights that the effective use of advanced analytical tools is crucial for optimizing performance and achieving a sustainable competitive advantage in logistics.
Keywords: software performance, decision–making performance, business performance, TMS systems, logistics industry, emerging economy
Published in DKUM: 14.11.2025; Views: 0; Downloads: 8
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3.
Understanding the impact of burnout on decision-making styles
Matea Cvjetković, Dinko Primorac, Katerina Fotova Čiković, 2025, original scientific article

Abstract: Background and purpose: This study aimed to fill a gap in the literature by identifying how employee burnout shapes decision-making styles in the post-COVID-19 business environment. The main goal was to examine the impact of three dimensions of burnout—exhaustion, cynicism, and professional efficacy—on four conflict-related decision-making styles: vigilance, buck-passing, procrastination, and hypervigilance. Design/Methodology/Approach: A total of 567 employees from various companies in Croatia participated in the online survey conducted in March 2023. Multiple regression analysis examined the impact of exhaustion, cynicism, and professional efficacy on decision-making styles under conflict. Results: The results of the multiple regression analysis revealed that professional efficacy leads to a vigilant decision-making style, while simultaneously diminishing procrastination, buck-passing, and hypervigilance. Cynicism, in contrast, was a positive predictor of procrastination, buck-passing, and hypervigilant decision-making. Finally, exhaustion was found to have a positive impact on hypervigilance. Conclusion: The study is significant because it contributes to the body of knowledge on the impact of burnout dimensions on professional decision-making styles in organisational settings, and it also offers practical implications of considerable importance.
Keywords: employee burnout, decision-making style, work-related stress, Croatian companies, post-COVID-19 period
Published in DKUM: 14.11.2025; Views: 0; Downloads: 4
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4.
The influence of emotional labor and emotional intelligence on cesarean section decision-making among midwives and obstetricians in Kosovo : a cross-sectional study using conjoint analysis
Besarta Taganoviq, Pam Smith, Mateja Lorber, Ilir Hoxha, 2025, original scientific article

Abstract: Introduction: Cesarean section rates continue to increase worldwide. In 2021, one in every five deliveries was delivered by cesarean section. This is particularly alarming in resource-limited countries such as Kosovo, where the rates continue to increase and vary considerably between hospitals. Understanding the underlying factors that drive the increase and variation of cesarean section rates may help to change these trends. This study investigates how emotional intelligence and emotional labor impact cesarean section decision-making among midwives and obstetricians in Kosovo, along with clinical factors. Methods: We employed a conjoint analysis using a cross-sectional study design to assess preferences that drive decisions for cesarean section. We used the Dutch questionnaire on Emotional Labor, the Assessing Emotions Scale, and the Quality of Decision-making questionnaire, and designed a conjoint questionnaire with 28 hypothetical scenarios. We invited all midwives and obstetricians employed at the Gynecology and Obstetrics Clinic of the University Clinical Centre of Kosovo to participate in the study. The data were collected from January to the end of March 2023. Stata 18 BE was used for statistical computing and data visualization. Results: A gestational age of 42 weeks decreased CS likelihood among midwives (OR=0.75; 95% CI: 0.62–0.90, p=0.002). Previous cesarean sections (OR=1.42; 95% CI: 1.11–1.81, p=0.005) and hypertension (OR=1.23; 95% CI: 1.01–1.51, p=0.042) raised CS odds for midwives. A pelvic size of 8 cm significantly increased CS likelihood for midwives (OR=1.70; 95% CI: 1.37–2.09, p<0.001), while a size of 11 cm was protective for both groups (midwives: OR=0.73; 95% CI: 0.57–0.93, p=0.010; obstetricians: OR=0.70; 95% CI: 0.52–0.94, p=0.019). Maternal age of 40 years was significant only for obstetricians (OR=1.43; 95% CI: 1.00–2.06, p=0.052), and university education was significant for midwives (OR=1.19; 95% CI: 1.03–1.37, p=0.020). Non-clinical factors and emotional measures showed no significant or consistent trends in either group. Conclusions: Various clinical and non-clinical factors shape the decision to recommend a cesarean section, with obstetricians and midwives prioritizing these factors differently. These findings underscore the importance of implementing evidence-based practices to enhance maternal and newborn health outcomes in Kosovo and similar settings, while optimizing cesarean decision-making.
Keywords: cesarean section, emotional labor, emotional intelligence, midwives, obstetricians, decision-making
Published in DKUM: 13.11.2025; Views: 0; Downloads: 2
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5.
Using data mining to improve decision-making : case study of a recommendation system development
Hyrmet Mydyti, Arbana Kadriu, Mirjana Pejić Bach, 2023, original scientific article

Abstract: Background and purpose: This study aims to provide a practical perspective on how data mining techniques are used in the home appliance after-sales services. Study investigates on how can a recommendation system help a customer service company that plans to use data mining to improve decision making during its digital transformation process. In addition, study provides a detailed outline on the process for developing and analyzing platforms to improve data analytics for such companies. Methodology: Case study approach is used for evaluating the usability of recommendation systems based on data mining approach in the context of home appliance after-sales services. We selected the latest platforms based on their relevance to the recommender system and their applicability to the functionality of the data mining system as trends in the system design. Results: Evaluation of the impact on decision making shows how the application of data mining techniques in organizations can increase efficiency. Evaluation of the time taken to resolve the complaint, as a key attribute of service quality that affects customer satisfaction, and the positive results achieved by the recommendation system are presented. Conclusion: This paper increases the understanding of the benefits of the data mining approach in the context of recommender systems. The benefits of data mining, an important component of advanced analytics, lead to an increase in business productivity through predictive analytics. For future research, other attributes or factors useful for the recommender systems can be considered to improve the quality of the results. Acknowledgement: The author Hyrmet Mydyti’s PhD thesis has been extended in this paper.
Keywords: digital transformation, data mining, decision tree algorithm, decision-making, home appliances after-sales services
Published in DKUM: 08.10.2025; Views: 0; Downloads: 2
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6.
Health care decisions in social care settings : general regulation and interpretation in CPT’s jurisprudence
Laura Kadile, 2023, original scientific article

Abstract: The Committee for the Prevention of Torture and Inhuman Treatment is a body of the Council of Europe that organises visits to places of detention such as social care homes in order to assess how persons deprived of their liberty are treated. This means that in practice people are not free to leave the institution and are therefore de facto deprived of liberty. In such situations, people with disabilities are particularly vulnerable and have limited capacity to make decisions about medical treatment and care. As the number of such persons increases, and in order to ensure protection under international law, the results of the empirical study indicate the need to provide immediate assistance to residents in safeguarding their rights to self-determination or private autonomy and legal interests in making health care decisions in social care settings. For example, involving the resident in consenting to treatment or establishing a decision-making assessment procedure.
Keywords: decision making capacity, legal capacity, CPT, informed consent, people with disabilities
Published in DKUM: 28.08.2025; Views: 0; Downloads: 3
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7.
Seasonal influenza vaccination uptake among health and medical college students : a discrete choice experiment
Monika Lamot, Andrej Kirbiš, 2025, original scientific article

Abstract: Seasonal influenza is a highly contagious virus posing significant health risks, especially tochildren, pregnant women, and older adults. Despite its crucial role in prevention andreducing severity, vaccination rates among medical and health students, who frequentlyinteract with vulnerable groups, remain low. This study investigates attributes of influenzavaccines that predict vaccination decisions within this population, while also examininghow these preferences vary based on the health literacy levels of the respondents.Between May and June 2024, 239 Slovenian medical and health students completed anonline discrete choice experiment presenting vaccines varying in efficacy, side effects, andadministration site. Preferences were analyzed to identify key attributes. Results showedthat higher efficacy and fewer side effects drove vaccine choice across all disciplines.Medical students favored faculty-based vaccination, whereas nursing and other healthdiscipline students preferred GP offices and NIPH units. Health literacy did not alter theimportance of efficacy and safety, but those with sufficient literacy showed a strongerpreference for GP settings over faculty sites. Campaigns should emphasize vaccine efficacyand the low risk of severe side effects, reassuring that mild reactions are transient.Facilitating GP-based vaccination for nursing and other health discipline students mayfurther improve uptake.
Keywords: seasonal influenza, vaccination, decision-making, health behavior, students, discrete choice experiment
Published in DKUM: 25.08.2025; Views: 0; Downloads: 7
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8.
Leveraging ChatGPT for enhanced logical analysis in the theory of constraints thinking process
Tomaž Aljaž, 2024, original scientific article

Abstract: Background/Purpose: Artificial intelligence (AI) has traditionally been used for quantitative analysis using explicit data. However, much of the information critical to decision making remains undocumented and is not stored in a structured way. This study explores the integration of AI, specifically ChatGPT, into Theory of Constraints (TOC) Thinking Process (TP) tools. Method: In this study, we applied ChatGPT to a real-world IT project management case using a variety of research methods, including international literature analysis, observation, and personal experience. The use of the TOC TP allowed us to understand the decision-making process of ChatGPT and to systematically explore its advantages and limitations in creating logical trees of TOC TP. Results: ChatGPT significantly enhanced efficiency and depth in TOC TP data collection and analysis, effectively addressing logical leaps for more coherent structures. It also promoted deeper analytical thinking and aided root cause identification. The integration of ChatGPT into the TOC TP process led to faster decision-making, reduced bias, and clearer analysis. Challenges of ChatGPT including the need for human oversight, specific TOC TP training, and ethical considerations were noted. Conclusion: This study provides an initial investigation into the use of ChatGPT in TOC TP tools. The results suggest that ChatGPT has the potential to be a valuable tool for organizations seeking to improve their decision making and performance. However, further research is needed to validate these findings and explore the full potential of AI in TOC TP.
Keywords: ChatGPT, artificial intelligence, Theory of Constraints, theory of constraints thinking process, logical analysis, decision making, structured analysis framework
Published in DKUM: 13.08.2025; Views: 0; Downloads: 3
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9.
Ethical leadership and management of small- and medium-sized enterprises : the role of AI in decision making
Tjaša Štrukelj, Petya Dankova, 2025, original scientific article

Abstract: The integration of artificial intelligence (AI) within the decision-making processes of small- and medium-sized enterprises (SMEs) presents both significant opportunities and substan- tial ethical challenges. The aim of this paper is to provide a theoretical model depicting the interdependence of organisational decision-making levels and decision-making styles, with an emphasis on exploring the role of AI in organisations’ decision making, based on selected process dimension of the MER model of integral governance and management, particularly in relation to routine, analytical, and intuitive decision-making capabilities. The research methodology employs a comprehensive qualitative analysis of the scientific literature published between 2010 and 2024, focusing on AI implementation in SMEs, ethi- cal decision making in integral management, and regulatory frameworks governing AI use in business contexts. The findings reveal that AI technologies influence decision making across business policy, strategic, tactical, and operative management levels, with distinct implications for intuitive, analytical, and routine decision-making approaches. The analysis demonstrates that while AI can enhance data processing capabilities and reduce human biases, it presents significant challenges for normative–ethical decision making, requiring human judgment and stakeholder consideration. We conclude that effective AI integration in SMEs requires a balanced approach where AI primarily serves as a tool for data collection and analysis rather than as an autonomous decision maker. These insights contribute to the discourse on responsible AI implementation in SMEs and provide practical guidance for leaders navigating the complex interplay between (non)technological capabilities, ethical considerations, and regulatory requirements in the evolving business landscape.
Keywords: MER model of integral governance and management, strategic management, management process, intuitive decision making, responsible leadership, small- and medium-sized enterprises (SMEs), artificial intelligence (AI), AI regulatory frameworks, analytical decision making, routine decision making
Published in DKUM: 15.07.2025; Views: 0; Downloads: 11
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10.
A hybrid multi-criteria and creative, problemsolving approach, for measuring local values of information technology products
Vesna Čančer, 2023, original scientific article

Abstract: This study examines the relationship between digital transformation and sustainable practices within enterprises against the backdrop of global transformative forces framed within the holistic paradigm of systems thinking. It examines the extent to which digital advances either facilitate or impede the sustainable development of companies, while also considering the systemic impact of demographic variables (such as gender, age, education), national income levels, and geographical regions on business sustainability. Using data from the Global Entrepreneurship Monitor (GEM), which encompasses 26,790 entrepreneurs in 47 countries, this research uses multinomial regression to assess how these factors influence companies’ commitment to social and environmental goals. A key finding is that the strategic use of digital technologies in sales processes significantly increases the likelihood that entrepreneurs will integrate social and environmental considerations into their decision-making. Notably, this conscientious approach to business is most prevalent among entrepreneurs in Latin America and the Caribbean. Our findings underscore the central role of digital technologies in driving sustainable business transformation while also highlighting the significant influence of regional socio-environmental contexts on business sustainability orientations.
Keywords: creative problem solving, information technology, multi-criteria decision making, piecewise linear value function, prescriptive approach
Published in DKUM: 10.07.2025; Views: 0; Downloads: 3
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