應用品管手法於手術室感染性可燃廢棄物減量之經驗

Experience with the Application of Quality Control Tools to Reduce Inflammable Infectious Medical Waste

古雪鈴(Shei-Ling Ku) ； 王拔群(Pa-Chun Wang) ； 陳雅惠(Ya-Hui Chen)

《輔仁醫學期刊》 3卷4期 (2005/12) Pp. 179-186

摘要

本研究旨在減少醫院手術室感染性可燃廢棄物產量，以減少醫院處理廢棄物支出成本。改善前，每台手術之感染可燃廢棄物產量平均為1100公克（處理費58.3元）；2002年4月開始實施品管活動，包括：推動正確分類方法、訂定標準流程、重整廢棄物容器及標示、公佈獎懲制度。改善後，每台手術之感染可燃廢棄物產量下降至757.5公克（處理費40.1元），此項品管活動持續評值十個月後，效果仍維持。正確的廢棄物分類，確實可以減低感染可燃廢棄物產量，也減少了醫院的成本。

關鍵字

品管手法 ； 手術室 ； 感染可燃廢棄物

並列摘要

The aims of this study were to investigate solutions for reducing excessive inflammable infectious medical waste and its handling fees in the operation room. The average weight of inflammable infectious medical waste for each surgery was 1100g, and the handling fee was NTD $58.3 (currently US$1.00 NT$35.5). We began to apply the following quality control tools: announcement of a new classification policy, establishment of standard working procedures, labeling of containers, and reinforcement of rewards and punishments. After these interventions, the inflammable infectious medical waste volume had declined to 757.5g per surgery, and the handling fee to NTD$40.1; the effects were maintained for over 10 months. Correct classification can significantly reduce the volume of inflammable infectious medical waste produced and can remarkably reduce the handling fees for hospitals.

並列關鍵字

quality improvement ； operating room ； inflammable infectious medical waste