Hospital waste management system in Kermanshah: challenges, future and sustainable management with circular economy.
Circular economy
Healthcare waste
Healthcare waste management
Hospital
Hospital waste
Medical waste
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
27 Oct 2024
27 Oct 2024
Historique:
received:
09
05
2024
accepted:
15
10
2024
medline:
28
10
2024
pubmed:
28
10
2024
entrez:
28
10
2024
Statut:
epublish
Résumé
Proper hospital waste management poses important concerns due to the risk capacity of hospital waste to health and the environment. Healthcare management approaches have changed in recent years, motivated by the desire to minimize the environmental impact. The review aims to examine the current HCW and considers the local challenges associated with establishing a circular economy (CE) to improve hospital waste management regarding training along Plan, Do, Check, and Act (PDCA). The study found that mean medical and general waste segregation rates in public hospitals were 50.15 and 49.85, respectively. On average, 3.6 kg of waste was generated per bed per day. Analysis revealed a significant correlation between total waste and infectious waste with the number of occupied beds in the hospital (p < 0.05). Updating national laws by the CE approach is necessary. Our insights into circular hospital waste urge establishing a green management team, new training methods, and continuous supervision. Using PDCA to enhance waste segregation, training, and other aspects of hospital waste management is vital.
Identifiants
pubmed: 39465267
doi: 10.1038/s41598-024-76525-4
pii: 10.1038/s41598-024-76525-4
doi:
Substances chimiques
Medical Waste Disposal
0
Medical Waste
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
25671Informations de copyright
© 2024. The Author(s).
Références
Ranjbari, M. et al. Mapping healthcare waste management research: past evolution, current challenges, and future perspectives towards a circular economy transition. J. Hazard. Mater. 422, 126724. https://doi.org/10.1016/j.jhazmat.2021.126724 (2022).
doi: 10.1016/j.jhazmat.2021.126724
pubmed: 34399217
Voudrias, E. A. Healthcare waste management from the point of view of circular economy. Waste Manage. 75, 1–2. https://doi.org/10.1016/j.wasman.2018.04.020 (2018). https://doi.org:
doi: 10.1016/j.wasman.2018.04.020
Janik-Karpinska, E. et al. in Healthcare. 242 (MDPI).
Chartier, Y., Emmanuel, J. & Pieper, U. Safe management of Wastes from Health-Care Activities [Internet], second ed., WHO Press, Geneva, Switzerland, (2014). http://www.who.int/water_sanitation_health/medicalwaste/wastemanag/en/ p. 329).
Husaini, D. C., Bernardez, V., Zetina, N. & Mphuthi, D. D. Healthcare industry waste and public health: a systematic review. Arab. Gulf J. Sci. Res. https://doi.org/10.1108/AGJSR-01-2023-0026 (2023).
Rao, S., Ranyal, R., Bhatia, S. & Sharma, V. Biomedical waste management: an infrastructural survey of hospitals. Med. J. Armed Forces India. 60, 379–382 (2004).
doi: 10.1016/S0377-1237(04)80016-9
Tilahun, D., Donacho, D. O., Zewdie, A., Kera, A. M. & Degefa, G. H. Healthcare waste management practice and its predictors among health workers in private health facilities in Ilu Aba Bor Zone, Oromia region, South West Ethiopia: a community-based cross-sectional study. BMJ open. 13, e067752 (2023).
doi: 10.1136/bmjopen-2022-067752
pubmed: 36764724
pmcid: 9923285
Pindi, G., Suravaram, S., Kandluri, S. & Donavalli, K. Biomedical waste segregation compliance scoring system: to analyze, strengthen, monitor, and step up waste management in healthcare facilities. Pan Afr. Med. J. 45 ,163 (2023).
Malekahmadi, F., Yunesian, M., Yaghmaeian, K. & Nadafi, K. Analysis of the healthcare waste management status in Tehran hospitals. J. Environ. Health Sci. Eng. 12, 1–5 (2014).
doi: 10.1186/s40201-014-0116-4
Afesi-Dei, C., Appiah-Brempong, M. & Awuah, E. Health-Care waste management practices: the case of Ho Teaching Hospital in Ghana. Heliyon 9, e15514 (2023).
Kenny, C. & Priyadarshini, A. Review of current healthcare waste management methods and their effect on global health. Healthcare 9, 284 (2021).
Chisholm, J. M. et al. Sustainable waste management of medical waste in African developing countries: a narrative review. Waste Manag. Res. 39, 1149–1163 (2021).
doi: 10.1177/0734242X211029175
pubmed: 34218734
pmcid: 8488638
Zhao, H. et al. A review on emergency disposal and management of medical waste during the COVID-19 pandemic in China. Sci. Total Environ. 810, 152302 (2022).
doi: 10.1016/j.scitotenv.2021.152302
pubmed: 34896492
Torkashvand, J. et al. Medical waste management in Iran and comparison with neighbouring countries. Int. J. Environ. Anal. Chem. 102, 2805–2818 (2022).
doi: 10.1080/03067319.2020.1759570
Sabour, M. R., Mohamedifard, A. & Kamalan, H. A mathematical model to predict the composition and generation of hospital wastes in Iran. Waste Manage. 27, 584–587 (2007).
doi: 10.1016/j.wasman.2006.05.010
Dieng, C. et al. Biomedical waste management in Dakar, Senegal: legal framework, health and environment issues; policy and program options. Cit. Health. 6, 208–222 (2022).
doi: 10.1080/23748834.2020.1786228
Jaafari, J., Dehghani, M. H., Hoseini, M. & Safari, G. H. Investigation of hospital solid waste management in Iran. World Rev. Sci. Technol. Sustain. Dev. 12, 111–125 (2015).
doi: 10.1504/WRSTSD.2015.073820
Morovati, P., Gholami-Borujeni, F. & Mousavi, S. F. Health-Care waste management in Abadan, Iran in 2018-current status and future suggestions. Casp. J. Health Res. 5, 61–65 (2020).
doi: 10.52547/cjhr.5.3.61
Taghipour, H. & Mosaferi, M. Characterization of medical waste from hospitals in Tabriz, Iran. Sci. Total Environ. 407, 1527–1535. https://doi.org/10.1016/j.scitotenv.2008.11.032 (2009). https://doi.org:.
doi: 10.1016/j.scitotenv.2008.11.032
pubmed: 19108872
Oduro-Kwarteng, S., Addai, R. & Essandoh, H. M. K. Healthcare waste characteristics and management in Kumasi, Ghana. Sci. Afr. 12, e00784. https://doi.org/10.1016/j.sciaf.2021.e00784 (2021).
doi: 10.1016/j.sciaf.2021.e00784
Oroei, M., Momeni, M., Palenik, C. J., Danaei, M. & Askarian, M. A qualitative study of the causes of improper segregation of infectious waste at Nemazee Hospital, Shiraz, Iran. J. Infect. Public Health. 7, 192–198. https://doi.org/10.1016/j.jiph.2014.01.005 (2014).
doi: 10.1016/j.jiph.2014.01.005
pubmed: 24629349
Debere, M. K., Gelaye, K. A., Alamdo, A. G. & Trifa, Z. M. Assessment of the health care waste generation rates and its management system in hospitals of Addis Ababa, Ethiopia, 2011. BMC Public. Health. 13, 28. https://doi.org/10.1186/1471-2458-13-28 (2013).
doi: 10.1186/1471-2458-13-28
pubmed: 23311573
pmcid: 3565894
Abanyie, S. K., Amuah, E. E. Y., Douti, N. B., Amadu, C. C. & Bayorbor, M. Healthcare waste management in the Tamale Central Hospital, northern Ghana. An assessment before the emergence of the COVID-19 pandemic in Ghana. Environ. Chall.. 5, 100320 (2021).
doi: 10.1016/j.envc.2021.100320
Capoor, M. R. & Bhowmik, K. T. Current perspectives on biomedical waste management: rules, conventions and treatment technologies. Ind. J. Med. Microbiol. 35, 157–164 (2017).
doi: 10.4103/ijmm.IJMM_17_138
Das, A. K., Islam, M. N., Billah, M. M. & Sarker, A. COVID-19 pandemic and healthcare solid waste management strategy—a mini-review. Sci. Total Environ. 778, 146220 (2021).
doi: 10.1016/j.scitotenv.2021.146220
pubmed: 33711590
pmcid: 7932852
Govindan, K., Nosrati-Abarghooee, S., Nasiri, M. M. & Jolai, F. Green reverse logistics network design for medical waste management: a circular economy transition through case approach. J. Environ. Manage. 322, 115888 (2022).
doi: 10.1016/j.jenvman.2022.115888
Nosrati-Abarghooee, S., Sheikhalishahi, M., Nasiri, M. M. & Gholami-Zanjani, S. M. Designing reverse logistics network for healthcare waste management considering epidemic disruptions under uncertainty. Appl. Soft Comput. 142, 110372. https://doi.org/10.1016/j.asoc.2023.110372 (2023).
doi: 10.1016/j.asoc.2023.110372
pubmed: 37168874
pmcid: 10154062
Kumar, R., Somrongthong, R. & Shaikh, B. T. Effectiveness of intensive healthcare waste management training model among health professionals at teaching hospitals of Pakistan: a quasi-experimental study. BMC Health Serv. Res. 15, 1–7 (2015).
doi: 10.1186/s12913-015-0758-7
Robat, D. S., Sany, S. B. T., Siuki, H. A., Peyman, N. & Ferns, G. Impact of an educational training on behavioral intention for healthcare waste management: application of health action model. Commun. Health Equity Res. Policy. 42, 299–307 (2022).
doi: 10.1177/0272684X20982595
Kim, B. J. & Tomprou, M. The effect of healthcare data analytics training on knowledge management: a quasi-experimental field study. J. Open. Innov. Technol. Market Complex. 7, 60. https://doi.org/10.3390/joitmc7010060 (2021).
doi: 10.3390/joitmc7010060
Azami-Aghdash, S. et al. Improving the hospital waste management at the Farabi hospital in Malekan -Iran: an action research study. Heliyon. 9, e17695. https://doi.org/10.1016/j.heliyon.2023.e17695 (2023).
Minoglou, M., Gerassimidou, S. & Komilis, D. Healthcare waste generation worldwide and its dependence on socio-economic and environmental factors. Sustainability. 9, 220 (2017).
doi: 10.3390/su9020220
Dihan, M. R. et al. Healthcare waste in Bangladesh: current status, the impact of Covid-19 and sustainable management with life cycle and circular economy framework. Sci. Total Environ. 871, 162083. https://doi.org/10.1016/j.scitotenv.2023.162083 (2023).
doi: 10.1016/j.scitotenv.2023.162083
pubmed: 36764546
pmcid: 9908568
Azmal, M. et al. Going toward green hospital by sustainable healthcare waste management: segregation, treatment and safe disposal. Health. 6, 2632–2640 (2014).
doi: 10.4236/health.2014.619302
Hendriks, A. Temporality in visions of desirable futures: Chronos and Kairos in the case of the circular economy on Gotland. J. Clean. Prod. 140733 https://doi.org/10.1016/j.jclepro.2024.140733 (2024).
Di Foggia, G. & Beccarello, M. Designing waste management systems to meet circular economy goals: the Italian case. Sustain. Prod. Consum. 26, 1074–1083 (2021).
doi: 10.1016/j.spc.2021.01.002
MacNeill, A. J. et al. Transforming the medical device industry: road map to a circular economy: study examines a medical device industry transformation. Health Aff. 39, 2088–2097 (2020).
doi: 10.1377/hlthaff.2020.01118
Tushar, S. R., Alam, M. F. B., Bari, A. M. & Karmaker, C. L. Assessing the challenges to medical waste management during the COVID-19 pandemic: implications for the environmental sustainability in the emerging economies. Socio-Econ. Plann. Sci. 87, 101513 (2023).
doi: 10.1016/j.seps.2023.101513
Sepetis, A., Zaza, P. N., Rizos, F. & Bagos, P. G. Identifying and Predicting Healthcare Waste Management costs for an optimal sustainable management system: evidence from the Greek Public Sector. Int. J. Environ. Res. Public Health. 19, 9821 (2022).
doi: 10.3390/ijerph19169821
pubmed: 36011449
pmcid: 9408452
An, S., Marsaulina, I., Aulia, D. & Motivation supervision, and adherence to Medical Waste Policy in South Labuhanbatu, North Sumatera. J. Health Policy Manage. 5, 146–151 (2020).
doi: 10.26911/thejhpm.2020.05.02.07
Tan, S. T. et al. Energy, economic and environmental (3E) analysis of waste-to-energy (WTE) strategies for municipal solid waste (MSW) management in Malaysia. Energy. Conv. Manag. 102, 111–120. https://doi.org/10.1016/j.enconman.2015.02.010 (2015).
doi: 10.1016/j.enconman.2015.02.010
Chaiyat, N. Energy, exergy, economic, and environmental analysis of an organic Rankine cycle integrating with infectious medical waste incinerator. Therm. Sci. Eng. Progress. 22, 100810. https://doi.org/10.1016/j.tsep.2020.100810 (2021).
doi: 10.1016/j.tsep.2020.100810
Kist, L. T., da Rosa, F. R., Moraes, J. A. R. & Machado, Ê. L. Diagnosis of hospital waste management in vale do rio pardo-rio grande do Sul, Brazil. Revista De Gestão Ambiental E Sustentabilidade. 7, 554–569 (2018).
doi: 10.5585/geas.v7i3.894
Askarian, M., Heidarpoor, P. & Assadian, O. A total quality management approach to healthcare waste management in Namazi Hospital, Iran. Waste Manage. 30, 2321–2326. https://doi.org/10.1016/j.wasman.2010.06.020 (2010). https://doi.org:.
doi: 10.1016/j.wasman.2010.06.020