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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1. 中华人民共和国国务院. 国务院令第380号医疗废物管理条例[EB/OL].(2003-06-16)[2014-01-01]. http://www.gov.cn/banshi/2005-08/02/content_19238.htm.
2. 陈静, 裴红生, 凌汉栋, 等. 医疗废物管理的调查及分析[J]. 中华医院感染学杂志, 2004, 14(9):1025-1026.
3. 姚林燕. 依法管理医疗废物[J]. 中华医院感染学杂志, 2004, 14(8):912-913.
4. 李艺星. 医疗废物的危害及管理[J]. 中国计划免疫, 2002, 8(6):361-364.
5. 顾文辉. 浅谈医疗机构医疗废物的规范化管理[J]. 中国城乡企业卫生, 2015(6):205-206.
6. 姜爱华, 朱丹锦, 汪亚群. 根因分析法在医院康复中心感染控制中的应用[J]. 中国消毒学杂志, 2015, 32(1):98-99.
7. 于爱玉, 张开玲, 刘勤朴. 加强医疗废物管理[J]. 中华医院感染学杂志, 2008, 18(4):569.
8. 姜迪. 加强医疗废物环境管理走可持续发展之路[J]. 黑龙江科技信息, 2015(25):123.
9. 曹国秀. 采用PDCA循环法规范门诊医疗废物的管理[J]. 中华医院感染学杂志, 2011, 21(4):752-753.
10. 张志萍, 郑玉慧, 陈蓉美. PDCA循环在提高医疗废物管理质量中的作用[J]. 中华医院感染学杂志, 2011, 21(17):3682-3683.
11. 刘玲珍, 沈燕. 标识化管理在临床医疗废物管理中的应用[J]. 护理实践与研究, 2015, 12(10):93-94.
12. 潘芙蓉, 王冬梅. PDCA循环在医院固体医疗废物分类管理中的应用[J]. 当代护士:下旬刊, 2016(1):172-173.
13. 顾萍, 袁咏梅. 引入PDCA循环规范医疗废物管理[J]. 中华医院感染学杂志, 2006, 16(6):672-673.
14. 江婷. 计划-实施-检查-处理循环法在提高医疗废物正确处理率中的应用及效果[J]. 华西医学, 2014, 29(9):1708-1710.

West China Medical Journal

Research on Application of PDCA Cycle in Standardized Medical Waste Management

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