Jindal A K, Gupta Arun, Grewal V S, Mahen Ajoy
Professor, Dept of Community Medicine, AFMC, Pune-411040, India.
Resident, Dept of Community Medicine, AFMC, Pune-411040, India.
Med J Armed Forces India. 2013 Oct;69(4):351-6. doi: 10.1016/j.mjafi.2012.09.007. Epub 2012 Nov 30.
In view of the contemporary relevance of BMW Management, a system analysis of BMW management was conducted to ascertain the views of Service hospitals/HCE's on the current system in BMW management in-vogue; to know the composition and quantity of waste generated; to get information on equipment held & equipment required and to explore the possibility of outsourcing, its relevance and feasibility.
A qualitative study in which various stake holders in BMW management were studied using both primary (Observation, In-depth Interview of Key Personnel, Group Discussions: and user perspective survey) and secondary data.
All the stake holders were of the opinion that where ever possible outsourcing should be explored as a viable method of BMW disposal. Waste generated in Colour code Yellow (Cat 1,2,3,5,6) ranged from 64.25 to 27.345 g/day/bed; in Colour code Red (Cat 7) from 19.37 to 10.97 g/day/bed and in Colour code Blue (Cat 4) from 3.295 to 3.82 g/day/bed in type 1 hospitals to type 5 hospitals respectively.
Outsourcing should be explored as a viable method of BMW disposal, were there are government approved local agencies. Facilities authorized by the Prescribed Authority should be continued and maintained where outsourcing is not feasible.
鉴于生物医学废物(BMW)管理的当代相关性,对BMW管理进行了系统分析,以确定服务医院/医疗保健机构(HCE)对当前流行的BMW管理系统的看法;了解产生的废物的成分和数量;获取有关现有设备和所需设备的信息,并探讨外包的可能性、相关性和可行性。
一项定性研究,其中使用主要数据(观察、关键人员的深入访谈、小组讨论和用户视角调查)和次要数据对BMW管理中的各种利益相关者进行了研究。
所有利益相关者都认为,在可能的情况下,应探索将外包作为一种可行的BMW处置方法。在1类至5类医院中,黄色编码(类别1、2、3、5、6)产生的废物量为每天每床位64.25至27.345克;红色编码(类别7)产生的废物量为每天每床位19.37至10.97克;蓝色编码(类别4)产生的废物量为每天每床位3.295至3.82克。
在有政府批准的当地机构的情况下,应探索将外包作为一种可行的BMW处置方法。在不可行外包的情况下,应由规定当局授权的设施应继续保留并维护。