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DEMATEL serves as a tool for addressing multi-criteria decision-making problems, primarily by identifying critical factors that exert the most significant influence on a specific system. To enhance its capabilities in handling contextual decision problems, DEMATEL has been further developed through integration with various other MCDM methods. The inherent reliance on direct input from experts for initial decision information in DEMATEL raises concerns about the potential limitations imposed by experts' domain knowledge and bounded rationalities. The effectiveness of decision-making can be compromised if the initial information provided by experts is deemed unreliable, leading to debatable outcomes. To address these challenges, this study proposes the incorporation of a Bonferroni mean aggregation operator within a Pythagorean neutrosophic environment, illustrated through a numerical example applied to DEMATEL. This integration is intended to fortify decision accuracy by introducing a more enhanced decision framework by developing a new normalized weighted Bonferroni mean operator for Pythagorean neutrosophic set aggregation (PN-NWBM). By integrating this operator, this study aims to alleviate the impact of unreliable initial information and enhance the overall reliability of decision outcomes thereby contributing to its improvement in decision making. Through the implementation of the Bonferroni mean aggregation operator, the study anticipates achieving a more comprehensive and accurate representation of decision factors as illustrated in the numerical example. This research includes a comparative and sensitivity analysis to thoroughly examine the implications and effectiveness of the proposed integration. [ABSTRACT FROM AUTHOR]

Nowadays, real world problems are complicated because they deal with uncertainty and incomplete information. Obviously, such problems cannot be solved by a single technique because of the multiple perspectives that may arise. Currently, the combination of DEMATEL and the neutrosophic environment are still new and not fully explored. Previous studies of DEMATEL and this neutrosophic environment have been carried out based on numerical values to represent a new scale. Until now, little importance has been placed on the development of a linguistic variable for DEMATEL. It is important to develop a new linguistic variable to represent opinions based on human experience. Therefore, to fill this gap, the concept of Interval Neutrosophic Vague Sets (INVS) has been extended to the linguistic variable that can be used in the decision-making process. The INVS is useful tool to deal with uncertainty and incomplete information. Additionally, the advantages of the linguistic variable of INVS allows the greater range of value for membership functions. This study proposes a new framework for INVS and DEMATEL. In addition, a case study on the quality of hospital service has been evaluated to demonstrate the proposed approach. Finally, a comparative analysis to check the feasibility of the proposed method is presented. It demonstrates that different methods produce different relations and levels of importance. This is due to the inclusion of the INVS linguistic variable. [ABSTRACT FROM AUTHOR]