Proposal of indicators for healthcare waste management: Case of a Brazilian public institution

Abstract

Healthcare waste (HCW) management represents a big challenge for managers around the world. Segregation is a fundamental action to allow the risk management inherent to each type of wastes. HCW indicators may favour the understanding of the waste management system status. The aim of this paper is to evaluate the HCW indicators applied in a Brazilian public institution, seeking to improve the management system and suggesting methods of applying this tool as an alternative of continuous improvement to the management process. Wastes were weighed every trimester for seven consecutive days, between of 2012 to 2017. The data represent daily, monthly and quarterly averages of the waste generated. Group B (chemical) and Group E (sharps) indicators had statistical non-significant data, suggesting very distant results from the stipulated goal. The generation rate was 355.3-500.7 kg.day including all types of waste. Considering the approximate values of the non-infected wastes, which may be discarded in a landfill, the percentage represents about 75% of all HCW generated. The other 25% need to be treated at cost of $US0.76kg. An effectively dangerous portion of the infectious waste would be approximately 6%. Failures in segregation could represent, in addition to the health risks, unnecessary expenses of the generating establishments. HCW indicators have good potential to provide adequate risk management in health service environments.

Healthcare waste management in a Brazilian university public hospital

“…Time variation of each indicator was tested adopting analysis of variance. Barbosa and Mol (2018) applied a similar statistic method.…”

Healthcare waste management assessment: Challenges for hospitals in COVID-19 pandemic times

“…Furthermore, as indicated by Barbosa and Mol (2018), the elaboration of HCWM indicators proved to be of great importance for the assessment of waste management in hospitals, as they provide adequate risk management in health environments, favouring the identification of problems and helping with the management process. In addition, the indicators proposed in this research can be used to compare and rank hospitals, if they are of interest to future researchers, as done by Moreira and Günther (2016), who contributed to decision making in waste management practices.…”

Qualidade do serviço desde a perspectiva do usuário: avaliação do serviço de gestão de resíduos em hospital público de Rio de Janeiro / Service quality from user’s perspective: assessment of waste management service in a Rio de Janeiro public hospital

“…A revisão da literatura sobre a avaliação da qualidade do serviço, no referente à gestão de resíduos em instituições de saúde (lixo hospitalar) traz grande quantidade de bibliografia sobre "a qualidade do gerenciamento" dos resíduos em serviços de saúde (geração, segregação, acondicionamento, coleta, armazenamento e destino final) (Santos et al, 2018;Barbosa & Mol, 2018;da Silva André et al, 2016;Aduan et al, 2014;Lemos et al, 2010;Costa & Fonseca, 2009;Naime et al, 2007;Melo, 2007;Brasil, 2005).…”