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基于信息化系统的医疗废物动态管理及特点分析

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目的 采用医疗废物信息管理系统分析医疗废物产生的动态特点.方法 选择广州市妇女儿童医疗中心柳州医院2020年1月1日-2022年12月30日产生的医疗废物为研究对象,数据来源于该医院医疗废物信息管理系统,分析医疗废物总量、医疗废物构成比、医疗废物分类排名、医院医疗服务量与医疗废物量的关系等.采用Microsoft excel 2021、SPSS 23.0及GraphPad Prism 9.0进行数据分析.结果 2020-2022年该医院医疗废物总量分别为90 636.85、98 021.94、134 272.05 kg,波动幅度较大;感染性医疗废物所占比例最大,87%以上.感染性废物总量排名从高到低的科室依次是检验科、医学遗传科、重症医学科、新生儿病区、麻醉科;损伤性废物排名从高到低的科室依次是急诊医学科、检验科、儿科病区、产科病区、小儿外科病区;产污系数0.50~0.69 kg/(床·d);2020年与2021年医疗废物量比较差异无统计学意义(t=1.33,P=0.48),2022年与2020年、2022年与2021年医疗废物量比较差异有统计学意义(t值分别为5.20、4.07,P值分别为0.000 3、0.002 1);住院占床时间与住院医疗废物量呈明显正相关(rs=0.96,P<0.01).结论 2020-2022年该院医疗废物总量波动幅度较大,感染性医疗废物所占比例最大,检验科感染性废物总量最多,急诊医学科损伤性废物总量最多,住院医疗废物量与住院占床时间相关.
Dynamic management and characteristics analysis of medical waste based on information systems
Objective Using a medical waste information management system to study the dynamic characteristics of medical waste generation and improvement measures.Methods The medical waste generated by Liuzhou Hospital of Guangzhou Women and Children Medical Center from January 1,2020 to December 30,2022 was selected as the object of the study,and the data were obtained from the hospital's medical waste information management system to analyze the to-tal amount of medical waste,the ratio of the composition of medical waste,the ranking of the classification of medical waste,and the relationship between the volume of medical services and the volume of medical waste in the hospi-tal.Microsoft excel 2021,SPSS 23.0 and GraphPad Prism 9.0 were used to analyze the data.Results The total amount of medical waste from 2020 to 2022 was 90 636.85 kilograms,98 021.94 kilograms,and 134 272.05 kilograms,with sig-nificant fluctuations;Infectious medical waste accounted for the largest proportion,with over 87%.The departments ranked from high to low in terms of total infectious waste were laboratory,medical genetics,intensive care unit,neonatal wards,and anesthesiology;The departments ranked from high to low in terms of hazardous waste were emergency medi-cine department,laboratory department,pediatric ward,obstetrics ward,and pediatric surgery ward.The pollution genera-tion coefficient rangeed from 0.50 to 0.69 kg/bed/day.The difference in medical waste volume between 2020 and 2021 was not statistically significant(t=1.33,P=0.48),and the difference in medical waste volume between 2022 and 2020,and 2022 and 2021 was statistically significant(t=5.20,4.07,P=0.000 3,0.002 1,respectively);inpatient bed occu-pancy time and inpatient medical waste volume showed a significant positive correlation(rs=0.96,P<0.01).Conclu-sion The hospital's total medical waste volume fluctuates widely from 2020 to 2022,with the largest percentage of infec-tious medical waste.The laboratory department had the highest total infectious waste,the emergency medicine department had the highest total injurious waste,and the amount of inpatient medical waste was correlated with the length of time the hospital occupied a bed.

HospitalMedical waste managementInformation system

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广州市妇女儿童医疗中心柳州医院质控科,广西柳州 545000

医院 医疗废物 信息系统

广西壮族自治区卫生和计划生育委员会自筹经费科研课题

Z20170535

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(6)