Hospital medical waste management in Shandong Province, China

2009 ◽  
Vol 27 (4) ◽  
pp. 336-342 ◽  
Author(s):  
Ruoyan Gai ◽  
Chushi Kuroiwa ◽  
Lingzhong Xu ◽  
Xingzhou Wang ◽  
Yufei Zhang ◽  
...  
Keyword(s):  
Waste Management ◽  
Rural Areas ◽  
Management System ◽  
Medical Waste ◽  
Shandong Province ◽  
Regulatory Framework ◽  
Qualitative Approaches ◽  
Medical Waste Management ◽  
The Government ◽  
Urban And Rural Areas

Medical waste refers to those hazardous waste materials generated by healthcare activities, including a broad range of materials, and remains as an issue on both public health and environment. In China, there was inadequate information on the implementation of management systems in hospitals based on the national regulatory framework. The objectives of this study were to assess the current situation of medical waste management and to identify factors determining the implementation of a management system based on the national regulatory framework in hospitals. We investigated 23 general hospitals in both urban and rural areas of Shandong Province, China, by both quantitative and qualitative approaches. The medical waste generation rate was 0.744, 0.558 and 1.534 kg bed— 1 day—1 in tertiary hospitals, urban secondary hospitals and county hospitals, respectively. There is a wide disparity between implementation in tertiary, secondary and county hospitals. With increasing financial, technological, and materials investment, a management system has been established in tertiary and secondary hospitals. Financial support and administrative monitoring by the government is urgently needed to build a sound management system in hospitals located at remote and less-developed areas. In those areas issues in the financial, administrative and technical aspects should be further examined.

Рroven experience in implementing proposals for improving the medical waste management system in military medical institutions of the ministry of defense of the Russian Federation

2021 ◽  
Vol 7 (3) ◽  
pp. 94-100
Author(s):  
S. A. Tsutsiev ◽  
O. G. Prigorelov ◽  
S. N. Vasyagin ◽  
P. A. Soshkin
Keyword(s):  
Waste Management ◽  
Management System ◽  
Research Work ◽  
Medical Waste ◽  
Power Structures ◽  
Waste Management System ◽  
Medical Institutions ◽  
Coronavirus Infection ◽  
The Russian Federation ◽  
Medical Waste Management

Aim: the authors share their proven experience of participating in the development and scientific support of proposals for improving the medical waste management system.Materials and methods. The study was carried out in the format of research work to substantiate proposals for improving the system of medical waste management in extreme conditions.Results. It was found that the system of medical waste management, which functions stably under the conditions of daily activities in peacetime, in extreme situations fails and creates a risk of spreading infectious diseases among the personnel of medical institutions, the population, as well as environmental pollution. This problem is obvious also for military medical institutions of various power structures. The essence of the proposals is to maximize reduction of the stages of the waste life cycle, which in the applied aspect is implemented by equipping military medical institutions with standard installations for the disposal of any medical waste.Conclusion. The value of the conducted research lies not only in the innovative nature of the proposals made, but also in the fact that they were made long before the events associated with the epidemic of coronavirus infection. The results of this work were neither appreciated at their true worth in a timely manner, nor received wide publicity and, as a result, they have not fully used to carry out preventive measures.

Medical waste management in Khulna City Corporation, Bangladesh

2020 ◽  
Vol 66 (4) ◽  
pp. 306-319
Author(s):  
Jafrin Sultana Jeba ◽  
◽  
Md. Mujibor Rahman ◽  
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Management System ◽  
Medical Waste ◽  
Poor Countries ◽  
Treatment Facilities ◽  
Medical Waste Management ◽  
Waste Handling ◽  
Health Care Waste ◽  
Storage Facilities

Management of medical waste or Clinical Solid Waste (CSW) is a major challenge for developing world and poor countries. In a developing country like Bangladesh, poor and inappropriate handling of medical waste continuously increases health risks, as well as environmental risks thus treatment and management of Health-Care Waste (HCW), are important here. This study reviews the current situation of medical waste management (MWM) and practices in Khulna City Corporation, Bangladesh, and examines possible solutions for further study. Both qualitative and quantitative data were used in this study. The study was conducted in 30 HCEs (Health Care Establishments) within Khulna City Corporation. The Result of the study unveiled an unsatisfactory management system in the surveyed HCEs. The entire city corporation's waste management is looked after through a public-private partnership between City Corporation and Prodipan (NGOs). Everyday 3509kg wastes are generated from HCEs within the City Corporation. Only 28% of the waste handling process related personnel claimed that they got training, none of these HCEs has their waste transportation (off-site transportation) facilities and for waste management, they entirely depend on City Corporation and Prodipan. For waste management, absence necessary plan and monitoring team makes it more difficult, only 33% of the surveyed HCEs showed their satisfaction for their manpower in this sector. Only 3.3% Health-Care Establishments (HCEs) have claimed that they have their distinguished treatment facilities for specific non-hazardous wastes. Insufficient collection and storage facilities, inadequate transportation and disposal facilities. The funding also demonstrates that segregation practices were not satisfactory in public and small HCEs. Arrangement of training and awareness program, appropriate plan, skilled staffs, proper storage facilities, regular monitoring are recommended to achieve an efficient medical waste management system.

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 Exploring the Effective Management of Medical Waste of BIRDEM General Hospital

2017 ◽  
Vol 8 (1) ◽  
pp. 56-62
Author(s):  
Nazimul Islam ◽  
Parvin Akter Khanam ◽  
Shahidul Hoque Mollik ◽  
Nazmun Nahar
Keyword(s):  
Waste Management ◽  
General Hospital ◽  
Management System ◽  
Medical Waste ◽  
Coding System ◽  
Color Coding ◽  
Hospital Waste ◽  
Waste Management System ◽  
Paramedical Staff ◽  
Medical Waste Management

Background: Medical waste can be generated in hospitals or clinics where diagnosis and treatment are conducted. The management of these wastes are of public concern and health threats are associated with such wastes. The study assessed to explore the current situation of medical waste management and level of awareness related to impact of medical waste and its management among the different levels of professionals.Methods: A descriptive cross-sectional study was done and data were collected from September 2012 to December 2012 at BIRDEM General Hospital. Data were collected by simple random sampling method and semi-structured questionnaire were used in this study. The questionnaire included socio-demographic information, source of hospital waste, description of hospital waste, segregation of waste and assessment of medical waste management system. The questionnaires were interviewed to the doctors, nurses, paramedical staff and cleaners who were related to waste management practices.Results: A total of 186 participants were interviewed in this study. The mean and SD of age was 37.9 ± 10.4 years and the age range from 22 to 65 years respectively. The male and female subjects were 28.0% and 72.0% respectively. Of the total participants, doctors, nurses, paramedical staff and cleaners were 15.1%, 55.4%, 12.9% and 16.7% respectively. To assess the perception of the respondents about hospital waste management, the nurses (100.0%) and cleaners (100.0%) were found in a better position to follow color-coding system (CCS) and to use of protective bags while segregating primary waste, while doctors (21.4%) and paramedical staff’s (29.2%) practice were not encouraging. However, in terms of constituents of medical waste doctors and paramedical staff’s perception was better than the nurses and cleaners. Doctors (92.9%), nurses (96.1%) and paramedical staff (95.8%) were very comfortable about the present color coding system than compared with cleaners (74.2%), although the doctors are less compliant to follow the color-coding system (78.6% compliant) in practice. A substantial proportion of the doctors (71.4%) sometimes put waste in wrong bins as opposed to 51.5% nurses and 33.3% paramedical staff. Few of the respondents would consider the waste if some medical waste is accidentally put to the general waste bin, 85.7% of the doctors, 95.1% nurses, 66.7% paramedical staff and 100% cleaners told that they would consider the waste as medical waste. Nurse’s perception was also better compared to other occupants in sealing waste-bin for disposal. In view of improving the existing waste management system, most of the respondents of different categories were in favor on waste management system. Majority of the respondents think that there should be designated person (97.8%) or rules (97.8%) or monitoring (96.8%) at the administrative level for organizing and managing of waste collection, handling, storage and disposal of waste who will follow a definite rule during all these processes.Conclusion: The study observed that there is lack of knowledge affiliate and practice among the doctors, nurses, paramedical staff and cleaners in segregating hospital waste at the primary source of collection. However, nurses and cleaners were more aware than the doctors and paramedical staff in terms of practice of segregating primary waste. The study also found that perception of waste management was better in doctors and paramedical staff than compared with cleaners and other staffs. To improve the waste management system, it is needed to make policy and regulation guidelines to well-organized system of collecting and treating waste in the hospital.Birdem Med J 2018; 8(1): 56-62

Sign in / Sign up

Export Citation Format

Share Document