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206     Abdulrahman Albar, Ahmad Elshennawy, Mohammed Basingab et al.

                       Defuzzification Process

                          After  the  fuzzifier  converts  numerical  inputs  into  fuzzy  values,  and  the  fuzzy
                       inference engine is fed by the knowledge base to logically link the inputs to the output,
                       last step remaining in the fuzzy system occurs in the defuzzifier. Defuzzification is the
                       process where the fuzzy values are converted into crisp values. The defuzzifier is fed by
                       the database, and its importance lies in the fact that its crisp output is the desired product
                       of the entire system. Seven defuzzification methods are identified (Sivanandam, Sumathi,
                       &  Deepa,  2007):  centroid  method,  max-membership  method,  mean-max  membership,
                       weighted average method, center of sums, first of maxima or last of maxima, and center
                       of largest area. This research adapts the centroid method for the defuzzification process,
                       and its formula is defined as following:    = ∫(  )        /     (  )     .
                                                           ∗


                                            FUZZY SYSTEM PREPAREDNESS

                          In this section, the protocol was provided for eliciting expert knowledge to obtain
                       membership intervals, rule assessments and consensus rates, along with other data. Then,
                       a preparatory step must be taken to obtain results for the proposed model. In this step,
                       data will be prepared before it is added to the knowledge base, interval values will be
                       used  to  construct  membership  functions,  and  data  from  expert  rule  assessments  will
                       contribute to the rule base.
                          Expert knowledge was sought from ten experts, designated with HCE expert codes.
                       The occupation and qualifications of these experts are described as follows:

                            HCE-01: An experienced healthcare administrator in the Saudi public healthcare
                              sector
                            HCE-02:  A  physician,  professor,  and  consultant  of  emergency  medicine  in
                              several healthcare organizations in Saudi Arabia
                            HCE-03: An academic researcher specializing in operations management
                            HCE-04: An emergency room physician working in a Saudi private healthcare
                              sector
                            HCE-05: An experienced emergency room nurse
                            HCE-06: An academic researcher with experience in healthcare studies
                            HCE-07:  A  researcher  with  vast  experience  in  emergency  room  operations
                              management
                            HCE-08:  A  physician  from  the  ICU  department  who  oversees  emergency
                              department transfers to the ICU
                            HCE-09: An emergency room physician
                            HCE-10: A general physician who work closely with ED staff
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