感染性废物管理的实践与挑战：一项来自巴基斯坦三级护理医院的定性描述性研究。
Practices and challenges of infectious waste management: A qualitative descriptive study from tertiary care hospitals in Pakistan.
作者信息
Kumar Ramesh, Shaikh Babar Tasneem, Somrongthong Ratana, Chapman Robert S
机构信息
Ramesh Kumar, PhD. Assistant Professor, Department of Health Systems and Policy, Health Services Academy, Islamabad, Pakistan. College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.
Babar Tasneem Shaikh, PhD., FRCP, Associate Professor, Department of Health Systems and Policy, Health Services Academy, Islamabad, Pakistan.
出版信息
Pak J Med Sci. 2015 Jul-Aug;31(4):795-8. doi: 10.12669/pjms.314.7988.
BACKGROUND AND OBJECTIVE
Infectious waste management practices among health care workers in the tertiary care hospitals have been questionable. The study intended to identify issues that impede a proper infectious waste management.
METHODS
Besides direct observation, in-depths interviews were conducted with the hospital administrators and senior management involved in healthcare waste management during March 2014. We looked at the processes related to segregation, collection, storage and disposal of hospital waste, and identified variety of issues in all the steps.
RESULTS
Serious gaps and deficiencies were observed related to segregation, collection, storage and disposal of the hospital wastes, hence proving to be hazardous to the patients as well as the visitors. Poor safety, insufficient budget, lack of trainings, weak monitoring and supervision, and poor coordination has eventually resulted in improper waste management in the tertiary hospitals of Rawalpindi.
CONCLUSION
Study has concluded that the poor resources and lack of healthcare worker's training in infectious waste results in poor waste management at hospitals.
背景与目的
三级医院医护人员的医疗废物管理做法一直存在问题。该研究旨在确定阻碍正确进行医疗废物管理的问题。
方法
除了直接观察外，2014年3月还对参与医疗废物管理的医院管理人员和高级管理人员进行了深入访谈。我们研究了医院废物的分类、收集、储存和处置相关流程，并在所有步骤中确定了各种问题。
结果
在医院废物的分类、收集、储存和处置方面观察到严重的差距和不足，因此被证明对患者和访客都有危害。安全状况不佳、预算不足、缺乏培训、监测和监督薄弱以及协调不力，最终导致拉瓦尔品第三级医院的废物管理不当。
结论
研究得出结论，资源匮乏以及医护人员在医疗废物方面缺乏培训导致医院废物管理不善。
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