PDCA Model Management Of Medical Waste In Ningbo

Background:Medical Waste contains large amounts of bacteria, viruses, fungi and other risk factors that can cause a variety of diseases, with the risk characteristics of space infection, acute infection and latent infection and so on.2003"Medical Waste Management Regulations" and the relevant standards promulgated, provides the legal basis for management of Medical Waste. However, with the increasing use of disposable medical supplies types and amount of Medical Waste generated increased; doctors don’t pay enough attention to classified management of Medical Waste, most of managers is part-time, collectors’cultural level is low; waste collection process is unreasonable, transfer record is incomplete; especially in some small medical institutions, Medical Waste mismanagement lead to untimely collection and other issues more prominent. In recent years, the loss of medical waste cause damage and water pollution, illegal trade and other events are repeated.The survey found that the disposal of Medical Waste is single, and burning is the main ways. Medical Waste Management include from generation, classification, collection, storage to disposal. PDCA (Plan-Do-Check-Action) is also know as the Deming circle. It is a scientific management method, suitable for the all kinds of management, and have received some results on hospital nursing and hospital performance management. There are plans to use the PDCA to find problems and influencing factors in Medical Waste Management step by step, to take measure to intervene or correct, and constantly improve the quality of Medical Waste Management.Objective:From the point of protection of human health and the maintenance of environmental safety, study the PDCA applied to the management of Medical Waste in Ningbo, through analysis the medical waste generation, management personnel, storage facilities, disposal, recycling, charges, etc. solve the identified problems one by one, and make the unresolved issues into the next PDCA cycle management, improve the management models and methods of Medical Waste continuously. Thus provide evidence for improve laws and regulations of Medical Waste management.Methods:The hospital is divided into two categories, one is Medium-sized hospitals, and another is small hospitals. Select88medical waste managers and88collectors randomly, survey their sex ratio, age composition, educational backgrounds and so on. Describe the amount of medical waste from2008to2012in Ningbo by month and regional distribution; understand their relationship with the population and the number of beds, and conduct a comparative analysis of the10check items between the2008and2012medical Waste Management, analyze the regional characteristics and seasonal change of the medical waste management staff and medical waste production. The main statistical analysis is descriptive analysis with Excel charts and SPSS software.Results:The sex-ratio of Medical Waste Management staff was1.84, the male accounted for36.36%in the medical waste management staff from the primary and above medical institutions and above, while the male accounted for74.24%in the medical waste management staff from the primary and below medical institutions (χ2=10.375, P<0.01); In terms of age and education, there are statistical differences between the two groups. There was statistical significance in academic degree, collect and recycle the medical waste between the two medical institutions. In2008, we draw the conclusion from the analysis of the2,078medical institutions medical waste management, the valid medical waste was only56.21%, medical waste storage facility (temporary points) meet the requirements of medical institutions only accounted for 57.07%. According to the classification, there was statistical significance in the temporary facility and timely collection between the below level and above level of medical institutions (P<0.001). In2008to2012, the annual growth rate of medical waste were10.60%,4.23%,3.48%and6.39%respectively, the amount of medical waste exceeded the total medical waste disposal of Ningbo City in2011and2012. In2012, medical waste disposal reached9005.51tons, the Pearson correlation coefficient was0.967between the annual amount of medical waste and annual number of beds per thousand populations, which indicates the amount of medical waste was closely related to the number of beds per thousand populations. In the first quarter, the least amount of medical waste generated, while the second and third quarters were relatively more. PDCA model improved the management of medical waste management of Ningbo city, the pass rates of10items reached90%in2012, significantly improved compared with2008, the original timely collection of medical waste rise from56.21%to99.43%, the high medical waste disposal achieved a100%, especially improved the quality level of the medical waste management of the medical institutions, in addition to sterilize medical waste transport that meet the requirements of the situation, the remaining nine test results were statistically significant compared with the2008(P<0.001).Conclusion:l.The medical waste management production increased year by year in Ningbo City, with the increase in the number of beds per thousand populations; there are regional and seasonal characteristics;2.By conducting a survey analysis of gender, age, education for the medical waste collection and management staff, we can provide the basis for classification training and guidance;3. PDCA model management improved the quality of medical waste generation, collection and management of medical institutions, especially in the improvement of collection of medical waste and medical waste temporary facilities.