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生物医学废物处理:系统分析

Biomedical waste disposal: A systems analysis.

作者信息

Jindal A K, Gupta Arun, Grewal V S, Mahen Ajoy

机构信息

Professor, Dept of Community Medicine, AFMC, Pune-411040, India.

Resident, Dept of Community Medicine, AFMC, Pune-411040, India.

出版信息

Med J Armed Forces India. 2013 Oct;69(4):351-6. doi: 10.1016/j.mjafi.2012.09.007. Epub 2012 Nov 30.

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

背景

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。

方法

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。

结果

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。

结论

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。

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