Medical waste management

2019 ◽  
pp. 1051-1068
Author(s):  
Joos Van den Noortgate ◽  
Rafael Van den Bergh ◽  
Peter Maes
Keyword(s):  
Waste Management ◽  
Low Income ◽  
Medical Waste ◽  
Low Income Countries ◽  
Healthcare Waste ◽  
Healthcare Waste Management ◽  
Health Quality ◽  
Health Quality Of Life ◽  
Medical Waste Management

This chapter on medical waste management outlines the principles of waste management as essential determinants of health, quality of life, and dignity. It describes the principles of healthcare waste management and based on extensive implementation experience, offers a pragmatic adaptation of approaches most suitable for low-income countries.

Hazardous Private Healthcare Waste Management and Forecast of Medical Waste Generation

2017 ◽  
Vol 68 (9) ◽  
pp. 2048-2051
Author(s):  
Mihaela Debita ◽  
Carmina Musat ◽  
Elena Mereuta ◽  
Madalina Rus ◽  
Claudiu Mereuta ◽  
...  
Keyword(s):  
Waste Management ◽  
Moving Average ◽  
Medical Waste ◽  
Waste Generation ◽  
Healthcare Waste ◽  
System A ◽  
Strategic Plans ◽  
Medical Facilities ◽  
Healthcare Waste Management ◽  
Medical Waste Management

The paper presents some considerations about medical waste management in private medical facilities which are considered to be small generators of such waste. The regulations are also applicable in these facilities and the management must develop strategic plans for minimizing the amount of medical waste. Some examples are revealed and a statistical analysis is conducted in order to reveal the efficiency of the medical waste management system. A forecast of hazardous medical waste is determined using the moving average method.

scholarly journals Development of healthcare waste management in Serbia and challenges in the improvement of the quality of healthcare services

Tehnika ◽  
2014 ◽  
Vol 69 (2) ◽  
pp. 343-348
Author(s):  
Verica Jovanovic ◽  
Tesink Gerrit ◽  
Dragomir Jovanovic ◽  
Nela Djonovic ◽  
Marija Jevtic ◽  
...  
Keyword(s):  
Waste Management ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Healthcare Waste ◽  
Healthcare Waste Management

Study of Medical Waste and Its Management at Wangaya Hospital in Denpasar

2016 ◽  
Vol 3 (5) ◽  
Author(s):  
I Nengah Muliarta
Keyword(s):  
Waste Management ◽  
Management System ◽  
Treatment Plan ◽  
Laboratory Data ◽  
Medical Waste ◽  
Observation Data ◽  
Research Results ◽  
Medical Waste Management ◽  
Standard Limit

Medical waste has three forms; solid, liquid and gas which derives from hospital activities which contains microorganism, chemical material and radioactive substances. Based on description above, this research was necessary to be conducted to handle the negative impact of medical waste to the environment. The research objectives were 1) in order to know the medical waste management system of Wangaya Hospital in Denpasar, and 2) studying more about medical waste quality of Wangaya Hospital in Denpasar. The research was a case study in using method that was designed by combining the observation data with the laboratory data analyses. The research location was in Denpasar of Wangaya Hospital (B type) regarding on the high occupancy rate of the patient was compared to other hospital (B type) in Bali. The research results was to show that 1) the medical waste management of Wangaya Hospital in Denpasar was suitable yet to meet  the procedure of medical waste from Decree of Minister of health No.1204 in 2004, regarding Health Condition of Environmental Hospital. The laboratory results show that the medical waste quality in Denpasar Wangaya Hospital was above the maximum of standard limit based on Decree of Minister No. 58/MENLH/12/2004. The ashes of incinerated medical waste contained a Hg heavy metal until 2,39 ppm. Based on the research results it was concluded that the management system of medical waste in Denpasar Wangaya Hospital was suitable yet with the procedure, and the medical waste quality of outputs that was released into the environment still exceeding the maximum standard limit. Therefore, it is recommended that Denpasar Wangaya Hospital should undertake the evaluation in management system of the medical waste and its treatment plan to reduce the effluent in its output products in order to comply with the standard limit.

scholarly journals Resilience Against Depression Disparities (RADD): a protocol for a randomised comparative effectiveness trial for depression among predominantly low-income, racial/ethnic, sexual and gender minorities

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031099
Author(s):  
Sylvanna Maria Vargas ◽  
Ashley Wennerstrom ◽  
Nancy Alfaro ◽  
Thomas Belin ◽  
Krystal Griffith ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Depressive Symptoms ◽  
Low Income ◽  
Health Quality ◽  
Health Quality Of Life ◽  
Mental Wellness ◽  
And Gender ◽  
Racial Ethnic

IntroductionDepression is the leading cause of adult disability and common among sexual and gender minority (SGM) adults. The current study builds on findings showing the effectiveness of depression quality improvement (QI) and delivery of cognitive behavioural therapy (CBT) skills provided by community health workers in reducing depression. Depression QI approaches across healthcare and social/community services in safety-net settings have shown improvements in mental wellness, mental health quality of life and depression over 12 months. Further, a randomised study showed improved depression among low-income racial/ethnic minorities enrolled in a CBT-informed resiliency class (Building Resilience and Increasing Community Hope (B-RICH)). The current protocol describes a comparativeness effectiveness study to evaluate whether predominantly low-income, SGM racial/ethnic minority adults randomised to a CBT-informed resiliency class have improvements in depressive symptoms over and above community-engaged QI resources and training only.Methods and analysisThe study approached three clusters of four to five programs serving predominantly SGM and racial/ethnic minority communities in the USA: two clusters in Los Angeles, California, and one in New Orleans, Louisiana. Clusters are comprised of one primary care, one mental health and two to three community agencies (eg, faith-based, social services/support, advocacy). All programs received depression QI training. The current study employed a community-partnered participatory research model to adapt the CBT-informed resiliency class, B-RICH+, to SGM communities. Study participants were screened and recruited in person from participating programs, and will complete baseline, 6- and 12-month survey follow-ups. Participants were depressed adults (8-item Patient Health Questionnaire ≥10; ≥18 years of age) who provided contact information. Enrolled participants were individually randomised to B-RICH+ or depression QI alone. Primary outcomes are depressive symptoms; secondary outcomes are mental health quality of life, mental wellness and physical health quality of life. Data collection for this study is ongoing.Ethics and disseminationThe current study was approved by the UCLA Institutional Review Board. Study findings will be disseminated through scientific publications and community conferences.Trial registration numberhttps://clinicaltrials.gov/ct2/show/NCT02986126

Management of healthcare waste in circumstances of limited resources: a case study in the hospitals of Nablus city, Palestine

2009 ◽  
Vol 27 (4) ◽  
pp. 305-312 ◽  
Author(s):  
Issam A. Al-Khatib ◽  
Yousef S. Al-Qaroot ◽  
Mohammad S. Ali-Shtayeh
Keyword(s):  
Waste Management ◽  
Waste Treatment ◽  
Mean Value ◽  
Medical Waste ◽  
Generation Rate ◽  
Waste Generation ◽  
Healthcare Facilities ◽  
Healthcare Waste ◽  
Healthcare Waste Management ◽  
Waste Generation Rate

The objectives of this study were the assessment of healthcare waste management and the characterization of healthcare waste material generated in the hospitals in Nablus city, Palestine, and furthermore, to estimate the prevalence of hepatitis B among the cleaning personnel working in these hospitals. The medical waste generation rate in kg per bed per day was between 0.59 and 0.93 kg bed— 1 day—1. The waste generation rate in the healthcare facilities of Nablus city hospitals was similar to some other developing countries; however, the percentage of medical wastes in the total waste stream was comparatively high. The density of medical waste at the four hospitals studied ranged between 144.9 and 188.4 kg m— 3 with a mean value of 166.7 kg m—3. The waste segregation and handling practices were very poor. Other alternatives for waste treatment rather than incineration such as a locally made autoclave integrated with a shredder should be evaluated and implemented. The system of healthcare waste management in Nablus city is in need of immediate improvement and attention. Formulating rules and guidelines for medical waste and developing strategies for overcoming the obstacles related to waste management should be considered as an urgent matter.

scholarly journals KAJIAN MANAJEMEN PENGELOLAAN LIMBAH PADAT MEDIS DI KLINIK INTI MEDIKA INSANI TANGERANG

2021 ◽  
Vol 5 (2) ◽  
pp. 19
Author(s):  
Tri Okta Ratnaningtyas ◽  
Fenita Purnama Sari Indah ◽  
Nurwulan Adi Ismaya ◽  
Nurkhikmah Alwiyati
Keyword(s):  
Waste Management ◽  
Environmental Health ◽  
Solid Waste Management ◽  
Medical Waste ◽  
Waste Reduction ◽  
Health It ◽  
Interview Methods ◽  
Health Quality ◽  
Clinic Manager

ABSTRACTMedical waste carries a greater risk to health. Such as diarrhea, skin infections, dengue fever until hepatitis A, B, and C. Poor handling of waste will also pose a risk of nosocomial infection. To realize the quality of environmental health, it is necessary to set standards for environmental health quality standards and health requirements by implementing safeguards on waste and implementing waste reduction. The health facilities had produced more than 296.86 tons of medical waste every day. Only about 43% of health service facilities that carry out medical waste management have met the standards. Objective: To examine the management of medical solid waste management in Inti Medika Insani Clinic, Tangerang. Methods: This research is a type of descriptive qualitative research. The object of this research is the director of Inti Medika Insani Clinic, manager of Inti Medika Insani Clinic, nurses, staff in charge of waste, cleanig service. This research uses in-depth observation and interview methods. Data collection techniques in this study is use interview techniques conducted by telephone. Based on the results of the study, Inti Medika Insani Clinic had not yet carried out appropriate waste management. Klinik Inti Medika Insani did not have sanitation workers, there were no available budgets, facilities and infrastructure that were not yet maximal, and there was no policy, monitoring and supervision. ABSTRAKLimbah medis membawa resiko yang lebih besar terhadap kesehatan. Seperti diare, infeksi kulit, demam berdarah sampai hep atitis A, B, dan C. Penanganan limbah yang tidak baik juga akan menimbulkan resiko terjadinya infeksi nosokomial. Mewujudkan kualitas kesehatan lingkungan perlu ditetapkan standar baku mutu kesehatan lingkungan dan persyaratan kesehatan dengan melaksanakan pengamanan terhadap limbah dan penyelenggaraan pengurangan limbah. Banyaknya fasilitas kesehatan tersebut sudah menghasilkan limbah medis sebanyak lebih dari 296.86 ton setiap harinya. Hanya sekitar 43% fasilitas pelayanan kesehatan yang melaksanakan pengelolaan limbah medis yang sudah memenuhi standar. Tujuan: Untuk mengkaji manajemen pengelolaan limbah padat medis di Klinik Inti Medika Insani Tangerang. Metode: Penelitian ini merupakan jenis penelitian deskriptif kualitatif. objek dalam penelitian ini yaitu direktur Klinik Inti Medika Insani, manajer Klinik Inti Medika Insani, perawat, staff penanggung jawab limbah, cleanig service. Penelitian ini menggunakan metode observasi dan wawancara secara mendalam. Teknik pengumpulan data dalam penelitian ini yaitu dengan menggunakan teknik wawancara yang dilakukan melalui telephone. Berdasarkan hasil penelitian diperoleh bahwa klinik inti medika insani belum melaksanakan manajemen pengelolaan limbah yang sesuai. Dijelaskan bahwa di klinik inti medika insani tidak memiliki tenaga sanitasi, tidak tersedia anggaran, sarana dan prasarana yang belum maksimal, dan tidak adanya kebijakan, monitoring dan supervisi.

Study of Medical Waste Management Evaluation Based on Tri Hita Karana Concept in Sanglah General Hospital, Denpasar

2018 ◽  
Vol 9 (09) ◽  
pp. 21050-21059
Author(s):  
Ni Putu Resiki ◽  
Ni Nyoman Utari Vipriyanti ◽  
I Made Sukerta
Keyword(s):  
Waste Management ◽  
General Hospital ◽  
Medical Waste ◽  
Program Management ◽  
Management Program ◽  
Input Process ◽  
Management Evaluation ◽  
Medical Waste Management ◽  
Process Product

The purpose of this study was to describe the quality of the implementation of the Program Management of Medical Waste-based concept of Tri Hita Karana in Sanglah Hospital in Denpasar in terms of context, input, process, product, and to describe the constraints any encountered in the implementation of the Program Management of Medical Waste-Based Concept of Tri Hita Karana at Sanglah General Hospital, Denpasar. The type of research used is evaluative. The number of samples used was 50 people. Data collection using a Likert scale questionnaire. Data were analyzed using CIPP. The results showed the conversion of the CIPP value to the Glickman prototype (+ + - +). If converted into quadrants prototype Glickman, then the quality of the implementation of the Medical Waste Management Program Based on the concept of Tri Hita Karana 2018 Sanglah Hospital located in quadrant II (second) or relatively effective. It is recommended to have a measurable measurement of training for employees of medical waste management and supervision

scholarly journals Impact of COVID-19 pandemic on medical waste management in Lebanon

2021 ◽  
pp. 0734242X2110039
Author(s):  
Amani Maalouf ◽  
Hani Maalouf
Keyword(s):  
Waste Management ◽  
Policy Development ◽  
Developing Economies ◽  
Medical Waste ◽  
Data Availability ◽  
Valuable Insight ◽  
Waste Generation ◽  
Healthcare Waste ◽  
Medical Waste Management ◽  
The Impact

Worldwide, there is a growing concern about the negative effects of infectious medical waste produced during the COVID-19 pandemic and the contamination risks associated with waste management. Therefore, measures to ensure that medical waste is managed safely and in an environmentally sound manner will avoid negative health and environmental effects from such waste, thus protecting the health of patients, health workers and the public in general. Despite that infectious medical waste generation rate is important for management planning and policy development, there is a limitation on national data availability and its accuracy, particularly in developing economies. This study analyses the infectious healthcare waste generation rates and management patterns in Lebanon before and after the COVID-19 pandemic. The estimated average of COVID-19-related infectious healthcare waste generation in this study is 39,035 kg per month or 1.3 tonnes per day, which constitute between 5% and 20% of total infectious healthcare waste in Lebanon. This study illuminates on the impact of COVID-19 on the existing challenges of waste management in Lebanon. It highlights the need for proper management and disposal of the amounts of medical waste generated to reduce contamination risks or related environmental threats, particularly during the pandemic. It also shows that Lebanon has a defective system for monitoring of waste from healthcare institutions and gaps in waste statistics. Finally, the study summarizes recommendations related to medical waste management, which can provide valuable insight for policymakers.

scholarly journals Improving Oral Health in Older Adults and People With Disabilities: Protocol for a Community-Based Clinical Trial (Good Oral Health) (Preprint)

2019 ◽  
Author(s):  
Jean Schensul ◽  
Susan Reisine ◽  
James Grady ◽  
Jianghong Li
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Low Income ◽  
Crossover Design ◽  
Health Campaigns ◽  
Community Based ◽  
Face To Face ◽  
Health Quality ◽  
Health Quality Of Life

BACKGROUND Low-income older adults experience disparities in oral health problems, including caries and periodontal disease, that can exacerbate already high levels of chronic and acute health problems. Behavioral interventions have been shown to improve oral health status but are typically administered in institutional rather than community settings. Furthermore, multiple simultaneous interventions at different levels in the locations where people live and work are likely to have more impact and sustainability than single interventions in clinical settings. OBJECTIVE This paper outlines a protocol for conducting a bilingual 5-year community-based trial of a bilevel intervention that addresses community norms, beliefs, intentions, and practices to improve oral health hygiene of vulnerable older adults living in publicly subsidized housing. The intervention utilizes (1) a face-to-face counseling approach (adapted motivational interviewing [AMI]) and (2) resident-run oral health campaigns in study buildings. METHODS The study’s modified fractional factorial crossover design randomizes 6 matched buildings into 2 conditions: AMI followed by campaign (AB) and campaign followed by AMI (BA). The total intervention cycle is approximately 18 months in duration. The design compares the 2 interventions alone (T0-T1), and in different sequences (T1-T2), using a self-reported survey and clinical assessment to measure Plaque Score (PS) and Gingival Index (GI) as outcomes. A final timepoint (T3), 6 months post T2, assesses sustainability of each sequence. The intervention is based on the Fishbein integrated model that includes both individual and contextual modifiers, norms and social influence, beliefs, attitudes, efficacy, and intention as predictors of improvements in PS, GI, and oral health quality of life. The cognitive and behavioral domains in the intervention constitute the mechanisms through which the intervention should have a positive effect. They are tailored through the AMI and targeted to building populations through the peer-facilitated oral health campaigns. The sample size is 360, 180 in each condition, with an attrition rate of 25%. The study is funded by National Institute of Dental and Craniofacial Research (NIDCR) and has been reviewed by University of Connecticut and NIDCR institutional review boards and NIDCR’s clinical trials review procedures. RESULTS When compared against each other, the face-to-face intervention is expected to have greater positive effects on clinical outcomes and oral health quality of life through the mediators. When sequences are compared, the results may be similar but affected by different mediators. The arm consisting of the BA is expected to have better sustainability. The protocol’s unique features include the comparative effectiveness crossover design; the introduction of new emotion-based mediators; the balancing of fidelity, tailoring, and targeting; and resident engagement in the intervention. CONCLUSIONS If successful, the evaluated interventions can be scaled up for implementation in other low-income congregate living and recreational settings with older adult collectives. CLINICALTRIAL ClinicalTrials.gov NCT02419144; https://clinicaltrials.gov/ct2/show/NCT02419144 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/14555

scholarly journals Improving Oral Health in Older Adults and People With Disabilities: Protocol for a Community-Based Clinical Trial (Good Oral Health)

10.2196/14555 ◽  
2019 ◽  
Vol 8 (12) ◽  
pp. e14555 ◽  
Author(s):  
Jean Schensul ◽  
Susan Reisine ◽  
James Grady ◽  
Jianghong Li
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Low Income ◽  
Crossover Design ◽  
Health Campaigns ◽  
Community Based ◽  
Face To Face ◽  
Health Quality ◽  
Health Quality Of Life

Background Low-income older adults experience disparities in oral health problems, including caries and periodontal disease, that can exacerbate already high levels of chronic and acute health problems. Behavioral interventions have been shown to improve oral health status but are typically administered in institutional rather than community settings. Furthermore, multiple simultaneous interventions at different levels in the locations where people live and work are likely to have more impact and sustainability than single interventions in clinical settings. Objective This paper outlines a protocol for conducting a bilingual 5-year community-based trial of a bilevel intervention that addresses community norms, beliefs, intentions, and practices to improve oral health hygiene of vulnerable older adults living in publicly subsidized housing. The intervention utilizes (1) a face-to-face counseling approach (adapted motivational interviewing [AMI]) and (2) resident-run oral health campaigns in study buildings. Methods The study’s modified fractional factorial crossover design randomizes 6 matched buildings into 2 conditions: AMI followed by campaign (AB) and campaign followed by AMI (BA). The total intervention cycle is approximately 18 months in duration. The design compares the 2 interventions alone (T0-T1), and in different sequences (T1-T2), using a self-reported survey and clinical assessment to measure Plaque Score (PS) and Gingival Index (GI) as outcomes. A final timepoint (T3), 6 months post T2, assesses sustainability of each sequence. The intervention is based on the Fishbein integrated model that includes both individual and contextual modifiers, norms and social influence, beliefs, attitudes, efficacy, and intention as predictors of improvements in PS, GI, and oral health quality of life. The cognitive and behavioral domains in the intervention constitute the mechanisms through which the intervention should have a positive effect. They are tailored through the AMI and targeted to building populations through the peer-facilitated oral health campaigns. The sample size is 360, 180 in each condition, with an attrition rate of 25%. The study is funded by National Institute of Dental and Craniofacial Research (NIDCR) and has been reviewed by University of Connecticut and NIDCR institutional review boards and NIDCR’s clinical trials review procedures. Results When compared against each other, the face-to-face intervention is expected to have greater positive effects on clinical outcomes and oral health quality of life through the mediators. When sequences are compared, the results may be similar but affected by different mediators. The arm consisting of the BA is expected to have better sustainability. The protocol’s unique features include the comparative effectiveness crossover design; the introduction of new emotion-based mediators; the balancing of fidelity, tailoring, and targeting; and resident engagement in the intervention. Conclusions If successful, the evaluated interventions can be scaled up for implementation in other low-income congregate living and recreational settings with older adult collectives. Trial Registration ClinicalTrials.gov NCT02419144; https://clinicaltrials.gov/ct2/show/NCT02419144 International Registered Report Identifier (IRRID) DERR1-10.2196/14555

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