Mapping healthcare waste management research: past evolution, current challenges, and future perspectives towards a circular economy transition

2021 ◽  
pp. 126724
Author(s):  
Meisam Ranjbari ◽  
Zahra Shams Esfandabadi ◽  
Tetiana Shevchenko ◽  
Naciba Chassagnon-Haned ◽  
Wanxi Peng ◽  
...  
Keyword(s):  
Waste Management ◽  
Circular Economy ◽  
Management Research ◽  
Future Perspectives ◽  
Healthcare Waste ◽  
Healthcare Waste Management

scholarly journals Healthcare waste management processes and transition towards a circular economy

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
J Mokra ◽  
J Loosova
Keyword(s):  
Czech Republic ◽  
Waste Management ◽  
Circular Economy ◽  
Assessment Process ◽  
Waste Prevention ◽  
The Czech Republic ◽  
Healthcare Waste ◽  
Key Stakeholders ◽  
Management Processes ◽  
Healthcare Waste Management

Abstract   The new Waste Directive 2018/851/EU strengthens the role of waste prevention and emphasizes recycling to facilitate the transition to a circular economy. So far, it has not been legislatively necessary for the Czech Republic to look at waste from a broader perspective, especially in healthcare, where the waste management is perceived as a separate process suitable for outsourcing. With the new directive and the transition to a circular economy, the waste management process becomes part of strategic management processes. These processes are partially systematically covered by the standards of the environmental management system, used mainly in the industrial sector. The optimal solution is a reassessment of the entire waste management of the medical facility and the inclusion of the principle of waste prevention in the decision to purchase a product or service. The necessary condition for the successful implementation of the circular economy is to minimize negative impacts on health and the environment while maintaining the economic sustainability of such a solution. Setting up generally sustainable management of medical facilities thus goes beyond current clinical practice. The health technology assessment model provides several domains that complement life cycle analysis and health impact assessment, including a health risk assessment method. The outputs of the above analyzes and evaluations cover the maximum scope of public interest in healthcare. A practical approach is developing a system of methodologies based on the methods mentioned above, which respect the whole chain of strategic processes of healthcare facilities and involve maximum stakeholders in the evaluation process. We test the approach on a pilot facility in the project SS01010276 ‘Sustainable healthcare waste management: economically feasible minimization of impacts on health and environment' supported by the Technology Agency of the Czech Republic within the Environment for Life Program. Key messages The approach aims to add value to traditional waste management approaches and integrate the long-term interests of key stakeholders using the overlapping outcomes of respective assessments. A sustainable approach to healthcare waste management must be developed with the involvement of all key stakeholders and concerning their interests within their position in the assessment process.

Impact of an Educational Training on Behavioral Intention for Healthcare Waste Management: Application of Health Action Model

2021 ◽  
pp. 0272684X2098259
Author(s):  
Davoud Sarpooshi Robat ◽  
Seyedeh Belin Tavakoly Sany ◽  
Hadi Alizadeh Siuki ◽  
Nooshin Peyman ◽  
Gordon Ferns
Keyword(s):  
Waste Management ◽  
Behavioral Intention ◽  
Hospital Staff ◽  
Training Intervention ◽  
Control Group ◽  
Behavioral Intent ◽  
Healthcare Waste ◽  
Action Model ◽  
Health Action ◽  
Healthcare Waste Management

Inappropriate healthcare waste management (HCWM) may lead to health hazards through the release of toxic and infectious agents into the environment. This study aimed to assess the appropriateness of a Health Action Model (HAM) operationalized in a training intervention to promote behavioral intent towards HCWM practice among hospital staff. This was a quasi-experimental intervention study of 128 hospital staff attending a training intervention in Sabzevar Hospital, Iran. Four training intervention was carried out using potential constructs of the HAM model to compare the quality of HCWM process and behavioral intent of hospital staff before and after a training session. A questionnaire based on HAM and multiple statistical analyses were used to assess the effectiveness of the training intervention. The average age of the eligible participants was 35.05 ± 9.4 years. A majority of the participant was married (88%), nursing staff (54%) and possessed a bachelor’s degree (66%) or diploma (18%). After the intervention, a significant change (p < 0.05) was observed in the intervention group compared to the control group in staff knowledge, attitude, self-efficacy, belief, and motivation. Further, our result showed a significant improvement from 53.6 ± 24.3 to 83.6 ± 11.5 in the behavioral intention toward HCWM practice. This work provides evidence of the effectiveness of the HAM as a guide in which the potential determinates that influence an individual’s behavioral intention toward medical waste practice were identified and described. This model help promote behavioral intention at a variety of target audiences and setting in waste management practice.

scholarly journals Application of Hazard Analysis of Critical Control Points (HACCP) Method to Describe Critical Points in Healthcare Waste Management of Razi Hospital in Ghaemshahr, Iran During COVID-19 Pandemic in 2020

2021 ◽  
Vol 13 (3) ◽  
Author(s):  
Seyedeh Fatemeh Erfaneh Mousavi ◽  
Fathollah Gholami-Borujeni
Keyword(s):  
Waste Management ◽  
Direct Contact ◽  
Hazard Analysis ◽  
Virus Transmission ◽  
Transmission Risk ◽  
Control Points ◽  
Healthcare Waste ◽  
Critical Control Points ◽  
Healthcare Waste Management ◽  
Corrective Actions

Background: During the outbreak of COVID-19 in developing countries such as Iran, the management of healthcare waste has become a very important issue. It is necessary to investigate the risk of virus transmission through direct contact, inhalation, and environmental pollution to reduce transmission risk. The Hazard Analysis of Critical Control Points framework is used to simplify quick responses of waste management for facing the novel infectious disease. Objectives: The aim of this study was to use risk analysis frameworks to describe hazard critical control points (HACCP) and make recommendations and corrective actions for staff who work in healthcare facilities and communities experiencing the COVID-19 outbreak. Methods: In the present descriptive-analytical study, a team of environmental health experts identified the critical control points of healthcare waste produced in Razi Hospital and divided them into three categories and six steps. A tested and verified hazard analysis flow diagram was prepared to determine critical points in different steps of healthcare waste management. Critical control points were identified and analyzed by the team at each step. Recommendations and corrective actions were made for each control point. Results: The production rate significantly increased from 580 to 1,733 kg per day, probably caused by the increased use of disposable waste during the pandemic. Transportation, disinfection, and storage appeared to be associated with an individually high level of transmission risk of COVID-19 virus. Also, direct contact with infectious waste was often associated with a high risk of virus transmission. In the final disposal of healthcare waste, people were exposed to a lower level of risk. Conclusions: Training staff in different wards of the hospital to use proper personal protective equipment (PPE), hand washing, disinfectants, and ventilation could reduce the risk of COVID-19 transmission through healthcare waste. Using the HACCP method for providing recommendations and corrective actions could simplify responses to reduce the transmission risk of COVID-19 during pandemics.

An assessment tool for healthcare waste management in Brazilian municipalities during the COVID-19 pandemic

2021 ◽  
pp. 0734242X2110452
Author(s):  
Flávia Tuane Ferreira Moraes ◽  
Andriani Tavares Tenório Gonçalves ◽  
Josiane Palma Lima ◽  
Renato da Silva Lima
Keyword(s):  
Waste Management ◽  
Rating Scale ◽  
Assessment Tool ◽  
Analytic Hierarchy ◽  
Assessment Index ◽  
Healthcare Waste ◽  
Health Agencies ◽  
Healthcare Waste Management ◽  
Political Economic ◽  
Hierarchy Process

The COVID-19 pandemic has put healthcare waste management (HCWM) systems under pressure worldwide. In Brazil, where municipalities routinely experience challenges in ensuring suitable disposal of healthcare waste (HCW), the pandemic has made this even more challenging. Therefore, the creation of tools and methods to help in municipal HCWM during the COVID-19 pandemic is of utmost importance. This article presents the development of a tool to evaluate HCWM in Brazilian municipalities during the pandemic. Following guidelines of health agencies, 56 indicators and 18 criteria were selected to create a tool called the municipal healthcare waste management assessment index (iMHWaste). These indicators and criteria were divided into operational, environmental, political–economic, educational and social groups. Each group considers essential aspects for sustainable management, safety and reduced spread of coronavirus. The analytic hierarchy process was used to assign the weights attributed to the groups and criteria. The indicators can be measured according to a standardized rating scale proposed for each one. These elements were aggregated with a weighted linear combination, into an equation that allows the calculation of the iMHWaste. The index is rated on a scale of 0–1. The index was applied in a Brazilian municipality considering a pre-pandemic HCWM. With the identification of the municipality’s management weaknesses, it was possible to identify the main actions that should be prioritized in the transition from traditional HCWM during the pandemic.

Healthcare waste management during disasters and its effects on climate change: Lessons from 2010 earthquake and cholera tragedies in Haiti

2017 ◽  
Vol 35 (3) ◽  
pp. 236-245 ◽  
Author(s):  
Emilia M Raila ◽  
David O Anderson
Keyword(s):  
Climate Change ◽  
Waste Management ◽  
Waste Disposal ◽  
Management Practices ◽  
Linear Regression Analysis ◽  
Waste Incineration ◽  
Healthcare Waste ◽  
New Findings ◽  
Healthcare Waste Management ◽  
The Government

Despite growing effects of human activities on climate change throughout the world, and global South in particular, scientists are yet to understand how poor healthcare waste management practices in an emergency influences the climate change. This article presents new findings on climate change risks of healthcare waste disposal during and after the 2010 earthquake and cholera disasters in Haiti. The researchers analysed quantities of healthcare waste incinerated by the United Nations Mission in Haiti for 60 months (2009 to 2013). The aim was to determine the relationship between healthcare waste incinerated weights and the time of occurrence of the two disasters, and associated climate change effects, if any. Pearson product–moment correlation coefficient indicated a weak correlation between the quantities of healthcare waste disposed of and the time of occurrence of the actual emergencies (r (58) = 0.406, p = 0.001). Correspondingly, linear regression analysis indicated a relatively linear data trend (R2 = 0.16, F (1, 58) = 11.42, P = 0.001) with fluctuating scenarios that depicted a sharp rise in 2012, and time series model showed monthly and yearly variations within 60 months. Given that the peak healthcare waste incineration occurred 2 years after the 2010 disasters, points at the need to minimise wastage on pharmaceuticals by improving logistics management. The Government of Haiti had no data on healthcare waste disposal and practised smoky open burning, thus a need for capacity building on green healthcare waste management technologies for effective climate change mitigation.

Sign in / Sign up

Export Citation Format

Share Document