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皮肤科诊所中医疗废物减量的规范管理

Regulated Medical Waste Reduction in the Dermatology Clinic.

作者信息

Sharma Divya K, Murase Lilia C, Rosenbach Misha, Barbieri John S, Murase Jenny E

机构信息

Department of Dermatology, University of Nebraska Medical Center, Omaha, NE, USA.

San Francisco Dermatologic Society, San Francisco, CA, USA.

出版信息

Dermatol Ther (Heidelb). 2024 Nov;14(11):3175-3181. doi: 10.1007/s13555-024-01279-w. Epub 2024 Oct 10.

Abstract

INTRODUCTION

The disposal of regulated medical waste (RMW) in the healthcare setting can be both costly and environmentally harmful. Prior studies have found large amounts of waste disposed of in RMW containers are inappropriately placed. Few studies to date have investigated the efficacy of waste reduction practices in the dermatology setting.

METHODS

This study aims to evaluate the effectiveness of a practice-wide intervention in reducing RMW in the outpatient dermatology setting. By performing daily waste audits and two concurrent educational interventions, the amount of RMW produced and percent of appropriately placed RMW will be measured. Further analysis will occur by comparing pre-intervention values to post-intervention values.

RESULTS

The percentage of waste properly placed in RMW containers prior to any intervention was 11%. Following both educational interventions, the percentage of waste properly placed in RMW containers increased by 56.1% (CI 43.7-68.5%) and the percentage of total waste produced that was identified and disposed of as RMW decreased by 6.0% (95% CI 1.2-10.8%).

CONCLUSION

Our study provides practical data for dermatology providers to make small changes which can result in significant reductions of regulated medical waste, potentially providing benefits to the environment and cost-savings.

摘要

引言

医疗机构中规范医疗废物(RMW)的处理既昂贵又对环境有害。先前的研究发现,大量被丢弃在RMW容器中的废物放置不当。迄今为止,很少有研究调查皮肤科环境中减少废物措施的效果。

方法

本研究旨在评估一项全院范围的干预措施在减少门诊皮肤科环境中RMW方面的有效性。通过每日进行废物审计和两项同步的教育干预措施,将对产生的RMW量以及正确放置的RMW百分比进行测量。将通过比较干预前和干预后的数值进行进一步分析。

结果

在任何干预措施实施之前,正确放置在RMW容器中的废物百分比为11%。在两项教育干预措施实施之后,正确放置在RMW容器中的废物百分比增加了56.1%(置信区间43.7 - 68.5%),并且被识别并作为RMW处理的总废物产生量百分比下降了6.0%(95%置信区间1.2 - 10.8%)。

结论

我们的研究为皮肤科医疗服务提供者提供了实用数据,表明进行一些小的改变就能显著减少规范医疗废物,这可能对环境有益并节省成本。

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