Kerley F R, Nissly B E
Hosp Mater Manage Q. 1992 Nov;14(2):40-59.
TQM offers a completely new approach to problem solving in health care. The approach requires dedication and persistence in monitoring, understanding, and changing systems at a level that has never been reached before in the United States' health care system. Materiel management, purchasing, nursing, housekeeping, and administration now have the necessary tools to centrally study the medical waste stream flow at their facilities. The intent of this article is to display how TQM techniques can be applied to minimize a hospital's medical waste stream. The approach of studying medical waste as a defect generated during the process of delivering high-quality care enables a hospital to pinpoint causes of these defects, modify the parent system of the defect, and lessen the generation of medical waste defects. Successful implementation of these techniques as a continuous process will enable hospitals to be leaders in the preservation of their host communities' environments.
全面质量管理为医疗保健领域的问题解决提供了一种全新的方法。这种方法要求在监测、理解和改变系统方面投入精力并持之以恒，其程度在美国医疗保健系统中前所未及。物资管理、采购、护理、保洁和行政管理部门现在拥有了必要的工具，可以集中研究其机构内医疗废物流的流动情况。本文旨在展示如何应用全面质量管理技术来尽量减少医院的医疗废物流。将医疗废物视为提供高质量护理过程中产生的缺陷来进行研究的方法，使医院能够查明这些缺陷的成因，修改缺陷的母系统，并减少医疗废物缺陷的产生。将这些技术作为一个持续过程成功实施，将使医院成为保护其所在社区环境的领导者。
