Modeling of the Factors Causing Occupational Accidents in the Health Care Sector using the DEMATEL-ISM Method

Modeling of the Factors Causing Occupational Accidents in the Health Care Sector using the DEMATEL-ISM Method | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Modeling of the Factors Causing Occupational Accidents in the Health Care Sector using the DEMATEL-ISM Method Ahmet Gökcan, Hacer Handan DEMİR, Büşra Tekin, Hüseyin Kurtuluş Özcan, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6785456/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 17 You are reading this latest preprint version Abstract Background There are many factors that cause occupational accidents in the healthcare sector, and these accident factors create complexity because the relationships between them are not understood. For this reason, clarifying the factors of occupational accidents with complex structures is of great importance for the health and safety of employees. Methods The factors causing occupational accidents in the health sector were reduced to 21 factors under the following dimensions: human, machine and equipment, environment and media, and management. The integrated DEMATEL-ISM method was used to evaluate the relationship between the complex occupational accident factors and to create a hierarchical network model. The identified factors were transformed into a questionnaire form and expert opinion was obtained from occupational safety professionals working in the health sector. Results The analysis was carried out in two steps. In the first step, the degrees of centrality, causality, impact, and influence among the factors causing the accident were calculated by DEMATEL method and the factors were ranked according to their criteria weights. In the second step, ISM method was used to create a clear image of the analysis results obtained by DEMATEL, and a multi-level hierarchical network model was established among the factors. As a result of the findings obtained and the hierarchical network model, it was determined that 12 factors are the priority factors that directly affect occupational accidents and have critical importance. Conclusions This study provides a novel perspective by employing the integrated DEMATEL-ISM method for the first time in analyzing occupational accidents in the health sector. It may contribute to the development of effective safety measures and strategies for the prioritized factors identified. Hierarchical network model Occupational accidents Healthcare sector Accident factors Occupational health and safety DEMATEL-ISM Full Text Additional Declarations No competing interests reported. Supplementary Files AppendixA.docx SupplementaryFile1.docx Cite Share Download PDF Status: Under Review Version 1 posted Reviews received at journal 09 Aug, 2025 Reviews received at journal 05 Aug, 2025 Reviews received at journal 03 Aug, 2025 Reviews received at journal 29 Jul, 2025 Reviewers agreed at journal 29 Jul, 2025 Reviewers agreed at journal 29 Jul, 2025 Reviews received at journal 27 Jul, 2025 Reviewers agreed at journal 27 Jul, 2025 Reviews received at journal 19 Jul, 2025 Reviewers agreed at journal 18 Jul, 2025 Reviewers agreed at journal 18 Jul, 2025 Reviewers agreed at journal 15 Jul, 2025 Reviewers invited by journal 15 Jul, 2025 Editor assigned by journal 02 Jul, 2025 Editor invited by journal 10 Jun, 2025 Submission checks completed at journal 10 Jun, 2025 First submitted to journal 10 Jun, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6785456","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":485629543,"identity":"af290cf5-34b3-41c9-8c88-c58003cc003d","order_by":0,"name":"Ahmet 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For this reason, clarifying the factors of occupational accidents with complex structures is of great importance for the health and safety of employees.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e\u003cp\u003eThe factors causing occupational accidents in the health sector were reduced to 21 factors under the following dimensions: human, machine and equipment, environment and media, and management. The integrated DEMATEL-ISM method was used to evaluate the relationship between the complex occupational accident factors and to create a hierarchical network model. The identified factors were transformed into a questionnaire form and expert opinion was obtained from occupational safety professionals working in the health sector.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e\u003cp\u003eThe analysis was carried out in two steps. 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It may contribute to the development of effective safety measures and strategies for the prioritized factors identified.\u003c/p\u003e","manuscriptTitle":"Modeling of the Factors Causing Occupational Accidents in the Health Care Sector using the DEMATEL-ISM Method","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-07-17 15:31:57","doi":"10.21203/rs.3.rs-6785456/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"editorInvitedReview","content":"","date":"2025-08-09T16:18:57+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-08-05T15:17:02+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-08-03T08:40:07+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-07-29T12:57:29+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"107019012296880015497379884043205382806","date":"2025-07-29T12:05:09+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"252409338821512432489228596596453560506","date":"2025-07-29T04:34:24+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-07-27T21:24:35+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"225482258023331034062910024298177928266","date":"2025-07-27T15:21:07+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-07-19T10:03:52+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"6958056109110103537546622854967047648","date":"2025-07-18T14:59:45+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"151456134741493102734913747385160524963","date":"2025-07-18T13:10:15+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"207250743727785844900197405102794643923","date":"2025-07-15T08:38:19+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-07-15T08:14:09+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-07-02T06:13:00+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-06-10T09:35:37+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-06-10T09:18:04+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Health Services Research","date":"2025-06-10T09:12:50+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-health-services-research","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bhsr","sideBox":"Learn more about [BMC Health Services Research](http://bmchealthservres.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/BHSR/default.aspx","title":"BMC Health Services Research","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"9ec93d0e-4069-48be-b5dd-6fd835b47466","owner":[],"postedDate":"July 17th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2025-07-17T15:31:58+00:00","versionOfRecord":[],"versionCreatedAt":"2025-07-17 15:31:57","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-6785456","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-6785456","identity":"rs-6785456","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}