Research on Application of PDCA Cycle in Standardized Medical Waste Management_West China Medical Journal

Authors：

 YinWeijia ¹ , HuangJing ¹ , KangXia ¹ , ZhuShichao ¹ ,  SongJinping ² , JiangLi ³

1. Department of Nosocomial Infection Management;West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Nursing Department;West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Aramark China, Project Department of West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

SongJinping, Email: Jinpings210@163.com

Keywords：

PDCA cycle; Medical waste management; Standardized

DOI：

10.7507/1002-0179.201600118

Video：

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Objective To explore medical waste management method in a large hospital and strengthen the standardized management of medical waste. Methods Between July 2012 and December 2014, according to the PDCA cycle working procedures, existing problems were found in medical waste management through survey, the cause of which was analyzed to formulate and implement a new system of medical waste management, to help carry out employee training and cross examination, and give feedback to clinical departments to make improvements. Then, we analyzed the awareness rate of medical waste-related knowledge among medical staff, accuracy rate of medical waste disposal, average daily medical waste amount before and after the application of PDCA cycle to evaluate the effect of the measures taken. Results Awareness rate of medical waste-related knowledge among medical staff (2012:55.59%, 2013:62.89%, 2014:94.43%) increased with statistical significance (χ²=410.871, P<0.001). Accuracy rate of medical waste disposal (2012:69.83%, 2013:87.29%, 2014:94.91%) increased with statistical significance (χ²=197.449, P<0.001). Rank correlation analysis showed that average daily medical waste amount declined as average daily inpatients number increased (rs=?0.590, P<0.001). Conclusion Using PDCA cycle can improve the awareness rate of medical waste-related knowledge and accuracy among medical staff to achieve continuous quality improvement of medical waste management.

Citation： YinWeijia, HuangJing, KangXia, ZhuShichao, SongJinping, JiangLi. Research on Application of PDCA Cycle in Standardized Medical Waste Management. West China Medical Journal, 2016, 31(3): 436-439. doi: 10.7507/1002-0179.201600118 Copy

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10.	張志萍, 鄭玉慧, 陳蓉美. PDCA循環在提高醫療廢物管理質量中的作用[J]. 中華醫院感染學雜志, 2011, 21(17):3682-3683.
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1. 中華人民共和國國務院. 國務院令第380號醫療廢物管理條例[EB/OL].(2003-06-16)[2014-01-01]. http://www.gov.cn/banshi/2005-08/02/content_19238.htm.
2. 陳靜, 裴紅生, 凌漢棟, 等. 醫療廢物管理的調查及分析[J]. 中華醫院感染學雜志, 2004, 14(9):1025-1026.
3. 姚林燕. 依法管理醫療廢物[J]. 中華醫院感染學雜志, 2004, 14(8):912-913.
4. 李藝星. 醫療廢物的危害及管理[J]. 中國計劃免疫, 2002, 8(6):361-364.
5. 顧文輝. 淺談醫療機構醫療廢物的規范化管理[J]. 中國城鄉企業衛生, 2015(6):205-206.
6. 姜愛華, 朱丹錦, 汪亞群. 根因分析法在醫院康復中心感染控制中的應用[J]. 中國消毒學雜志, 2015, 32(1):98-99.
7. 于愛玉, 張開玲, 劉勤樸. 加強醫療廢物管理[J]. 中華醫院感染學雜志, 2008, 18(4):569.
8. 姜迪. 加強醫療廢物環境管理走可持續發展之路[J]. 黑龍江科技信息, 2015(25):123.
9. 曹國秀. 采用PDCA循環法規范門診醫療廢物的管理[J]. 中華醫院感染學雜志, 2011, 21(4):752-753.
10. 張志萍, 鄭玉慧, 陳蓉美. PDCA循環在提高醫療廢物管理質量中的作用[J]. 中華醫院感染學雜志, 2011, 21(17):3682-3683.
11. 劉玲珍, 沈燕. 標識化管理在臨床醫療廢物管理中的應用[J]. 護理實踐與研究, 2015, 12(10):93-94.
12. 潘芙蓉, 王冬梅. PDCA循環在醫院固體醫療廢物分類管理中的應用[J]. 當代護士:下旬刊, 2016(1):172-173.
13. 顧萍, 袁詠梅. 引入PDCA循環規范醫療廢物管理[J]. 中華醫院感染學雜志, 2006, 16(6):672-673.
14. 江婷. 計劃-實施-檢查-處理循環法在提高醫療廢物正確處理率中的應用及效果[J]. 華西醫學, 2014, 29(9):1708-1710.

West China Medical Journal

Research on Application of PDCA Cycle in Standardized Medical Waste Management

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