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评估一项旨在减少西班牙一家三级医院医疗保健废弃物的教育培训干预措施。

Evaluation of an education and training intervention to reduce health care waste in a tertiary hospital in Spain.

作者信息

Mosquera Margarita, Andrés-Prado Maria José, Rodríguez-Caravaca Gil, Latasa Pello, Mosquera Marta E G

机构信息

Preventive Medicine Department, Alcorcón University Hospital Foundation, Madrid, Spain.

Preventive Medicine Department, Alcorcón University Hospital Foundation, Madrid, Spain.

出版信息

Am J Infect Control. 2014 Aug;42(8):894-7. doi: 10.1016/j.ajic.2014.04.013. Epub 2014 Jun 7.

Abstract

BACKGROUND

In recent decades there has been a significant increase in waste generation. Training interventions in advanced health care waste management can improve the segregation of regulated medical waste and reduce volume and costs.

METHODS

We carried out a quasi-experimental intervention study with before and after training session analysis to compare waste segregation. Descriptive analysis of the segregated health care waste and an evaluation of the quality of segregation were done. A comparison of monthly average waste to assess the effectiveness of the educational intervention was performed.

RESULTS

After the intervention, there was a significant reduction in the monthly average health care waste volume of 6.2%. Statistically significant differences in the infectious waste and genotoxic/pharmaceutical waste weight segregated before and after the intervention (P < .05) were found. Because of the health care waste weight reduction and the improvement of waste classification, a savings cost of €125,205 was achieved.

CONCLUSIONS

The health care waste management training improves biomedical waste segregation at the hospital, reducing the health care waste volume and costs as an added value.

摘要

背景

近几十年来,废物产生量显著增加。先进医疗废物管理方面的培训干预措施可改善受控医疗废物的分类,并减少其体积和成本。

方法

我们开展了一项准实验性干预研究,通过培训前后的分析来比较废物分类情况。对分类后的医疗废物进行了描述性分析,并对分类质量进行了评估。通过比较月平均废物量来评估教育干预的效果。

结果

干预后,每月平均医疗废物量显著减少了6.2%。发现干预前后分类的感染性废物和遗传毒性/药品废物重量存在统计学显著差异(P < 0.05)。由于医疗废物重量减少和废物分类改善,节省了125,205欧元的成本。

结论

医疗废物管理培训改善了医院生物医疗废物的分类,减少了医疗废物量并降低了成本,这是一项附加价值。

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