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題名:降低加護單位生物醫療廢棄物產量
書刊名:護理雜誌
作者:沈明怡張鈞竹李夢英林瑞香
作者(外文):Shen, Ming-yiChang, Chun-chuLi, Mung-yengLin, Jui-hsiang
出版日期:2017
卷期:64:5
頁次:頁81-90
主題關鍵詞:醫療廢棄物減量加護單位每人日產量Decrease biomedical wasteIntensive care unitICUPer-person waste generation
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:6
  • 點閱點閱:3
背景:隨著醫療科技進步,PVC(polyvinyl chloride)材質之丟棄式耗材被廣泛使用,而加護單位因重症病患治療需要,生物醫療廢棄物產量逐年增加。若未經妥善管理及處理將對環境衛生及大眾健康造成莫大危害。統計本院加護單位生物醫療廢棄物每人日產量2014年較2013年增加8.51%,分析主要原因為生物醫療廢棄物收集桶內容物分類及人員廢棄物分類行為正確率低,以及未選用與設置合宜容器。目的:加護單位生物醫療廢棄物每人日產量降低10%(降低0.22 Kg/人/日)。解決方案:專案小組設計分類標語並張貼宣導海報、以案例設計教案進行教育訓練、成立環保小尖兵及推廣合宜容器使用原則。結果:經專案推行後加護單位生物醫療廢棄物每人日產量降低13.2%。結論:專案實施後能有效降低加護單位生物醫療廢棄物每人日產量,並提升加護單位醫療人員執行廢棄物分類行為,以提供病患及家屬更佳之醫療照護環境,達到環保愛地球之目標。
Background & Problems: Advancing healthcare technologies have increased the use of disposable supplies that are made with PVC (polyvinyl chloride). Furthermore, biomedical effluents are steadily increasing due to severe patient treatment requirements in intensive care units. If these biomedical wastes are not properly managed and disposed, they will cause great harm to the environment and to public health. The statistics from an intensive care unit at one medical center in northern Taiwan show that the per-person biomedical effluents produced in 2014 increased 8.51% over 2013 levels. The main reasons for this increase included the low accuracy of classification of the contents of biomedical effluent collection buckets and of personnel effluents in the intensive care unit and the generally poor selection and designation of appropriate containers. Purpose: Improvement measures were implemented in order to decrease the per-day weight of biomedical effluents by 10% per person (-0.22 kg/person/day). Methods: The project team developed various strategies, including creating classification-related slogans and posting promotional posters, holding education and training using actual case studies, establishing an "environmental protection pioneer" team, and promoting the use of appropriate containers. Results: The implementation of the project decreased the per-day weight of biomedical effluents by 13.2% per person. Conclusions: Implementation of the project effectively reduced the per-person daily output of biological wastes and improved the waste separation behavior of healthcare personnel in the unit, giving patients and their families a better healthcare environment and helping advance the cause of environmental protection worldwide.
期刊論文
1.許麗燕、郭秀香、曾繡娟、徐惠禎(20041200)。護理臨床單位感染性醫療廢棄物分類之改善專案。慈濟護理雜誌,3(4),60-66。  延伸查詢new window
2.陳永仁(20000800)。醫療廢棄物處理與事業廢棄物政策之檢討。中華公共衛生雜誌,19(4),303-308。new window  延伸查詢new window
3.白玉珠、林淑惠、林靜薇(20021200)。某加護中心改善感染性廢棄物分類成效專案。醫務管理期刊,3(4),70-84。new window  延伸查詢new window
4.高雅玲、高玉瑾、高淑琴、林志崑、黃協賢(20090200)。有效改善環管人員對院內環境清潔與醫療廢棄物之處理。感染控制雜誌,19(1),10-20。  延伸查詢new window
5.葉佩菁、蕭玉霜、呂秋華、鄧苡驊(20120600)。透析室感染廢棄物減量之專案。秀傳醫學雜誌,11(1/2),49-58。  延伸查詢new window
6.趙正敏、施政睿、鄭博文(20120300)。區域醫院員工對醫療廢棄物風險認知之探討。醫務管理期刊,13(1),48-63。new window  延伸查詢new window
7.韓佩軒、張秀涓、劉秀華、張麗銀、盧小玨(20020900)。感染性廢棄物正確分類及減量方案。榮總護理,19(3),275-282。new window  延伸查詢new window
8.Askarian, M.、Heidarpoor, P.、Assadian, O.(2010)。A total quality management approach to healthcare waste management in Namazi hospital, Iran。Waste Management,30(11),2321-2326。  new window
9.Hossain, M. S.、Santhanam, A.、Nik Norulaini, N. A.、Omar, A. K.(2011)。Clinical solid waste management practices and its impact on human health and environment--A review。Waste Management,31(4),754-766。  new window
10.Lakbala, P.、Lakbala, M.(2013)。Knowledge, attitude and practice of hospital staff management。Waste Management & Research,31(7),729-732。  new window
11.Taghipour, H.、Mohammadyarei, T.、Jafarabadi, M. A.、Hashemi, A. A.(2014)。On-site or off-site treatment of medical waste: A challenge。Journal of Environmental Health Science & Engineering,12。  new window
12.Tesfahun, E.、Kumie, A.、Legesse, W.、Kloos, H.、Beyene, A.(2014)。Assessment of composition and generation rate of healthcare wastes in selected public and private hospitals of Ethiopia。Waste Management & Research,32(3),215-220。  new window
13.趙正敏、游雅雯、陳姵蓁、鄭博文(20101200)。醫院推行可資源回收之醫療廢棄物的態度與現況調查。醫務管理期刊,11(4),280-296。new window  延伸查詢new window
其他
1.World Health Organization(2014)。Healthcare waste management,http://www.healthcare-waste.org/basics/definitions/。  new window
 
 
 
 
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