医疗机构应用信息化手段管理医疗废物的效果

目的利用信息化手段创新医疗机构医疗废物管理,探索医疗废物有效管理模式。方法选取某三甲医院,采用信息化为支撑的管理模式,实时监测全院医疗废物的收集、转运和暂存,并针对管理中暴露出的问题采用PDCA管理工具进行持续质量改进。统计分析应用信息化管理前后医疗废物相关知识知晓率、医疗废物处置正确率及医疗废物相关职业暴露率的变化。结果对医疗废物相关知识认知情况进行调查,除医疗废物管理制度要求,其余各项调查的正确率均为信息化管理后高于管理前,差异有统计学意义(均P0.01)。管理部门日常对医疗废物处置情况检查,除医疗废物暂存场所规范、保洁人员防护措施两项指标外,其余各项检查指标均为信息化管理后高于管理前,差异有统计学意义(均P0.01)。信息化管理实施后医疗废物处置相关职业暴露率为0.005例次/人年,低于实施前的0.011例次/人年,差异有统计学意义(P0.05)。结论基于信息化的医疗废物管理模式成效明显,并能反映持续改进效果。

Effect of information technology on management of medical waste in medical institution

Objective To innovate the management of medical waste in medical institutions by means of information technology, and explore the effective management mode of medical waste. Methods A tertiary first-class hospital was selected, by means of information technology supporting management mode, the collection, transportation and temporary storage of medical waste were real-time monitored, plan-do-check-act(PDCA) management tool was used for continuous quality improvement in view of the problems found in the management. Change in awareness rate of medical waste-related knowledge, correct rate of medical waste disposal and occupational exposure rate rela-ted to medical waste before and after application of information management were statistically analyzed. Results Awareness on medical waste-related knowledge was surveyed, except the requirement of medical waste management system, the correct rates of other surveys after information management were all higher than before management, differences were all statistically significant (all P<0.01). In the daily inspection of medical waste disposal by ma-nagement department, except the standard temporary storage location of medical waste and protection measures for cleaners, the other inspection indicators after information management were all higher than before management, differences were all statistically significant (all P<0.01). After the implementation of information management, occupational exposure rate related to medical waste disposal was 0.005 case/person-year, which was lower than 0.011 case/person-year before the implementation, difference was statistically significant (P<0.05). Conclusion The effect of management mode of medical waste based on information technology is significant, which can reflect the effect of continuous improvement.