Banca de DEFESA: AMANDA UMBELINO TRIGUEIRO BEZERRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : AMANDA UMBELINO TRIGUEIRO BEZERRA
DATE: 11/12/2023
TIME: 10:00
LOCAL: Google Meet
TITLE:

HOSPITAL WASTE MANAGEMENT: IMPROVEMENT CYCLE UNIVERSITY HOSPITAL, RIO GRANDE DO NORTE, BRAZIL

KEY WORDS:

Quality Improvement; Waste management; Health Service

PAGES: 59
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: healthcare waste management is a set of procedures with the aim of minimizing waste generation and providing a safe, efficient destination. Therefore, it is essential to implement improvements aimed at waste management, aiming to protect workers and preserve public health, resources and the environment. Objective: to develop a quality improvement cycle in a University Hospital in Rio Grande do Norte to improve waste management and, specifically, identify the causes of inadequate segregation and reduce costs resulting from the treatment of infectious and chemical waste. Methodology: A quantitative study was carried out, with an experimental design, without a control group, before and after, from February 2022 to September 2023, based on an improvement cycle. The steps of an improvement cycle were carried out and eight quality criteria were measured before and after the interventions. The interventions carried out were: reformulation of the identification of waste classification stickers; relocation of trash bins; theoretical training and through realistic simulation with care teams and during the integration of new employees; construction of educational videos; updating the Hospital's Solid Waste Management Plan; preparation of an electronic form to record waste weighing and adjust the calibration of scales. The absolute and relative frequency of the level of compliance with the criteria and the absolute and relative improvement were analyzed comparing the pre- and post-intervention period, considering a statistical significance of 5%. Results: the main causes of inadequate segregation are related to the inadequate identification and location of bins, the lack of continuous training, the lack of specific containers for chemical waste, and the lack of periodic monitoring. In the initial assessment, a good level of quality was found only in the criterion of “Identification of bins by type of waste”. In the reevaluation, after interventions, an increase in the quality level was noted in all criteria with a significant improvement in the adequate segregation of waste, the identification of the white bag and the completion of the waste weighing form. A significant reduction was observed in the rate of generation of infectious waste as well as in the average cost of waste generation per patient/day. Conclusion: The improvement cycle improved waste management and management, as well as reducing the costs arising from this process, proving to be an effective strategy in increasing the quality of health services.

COMMITTEE MEMBERS:
Presidente - 1674688 - TATYANA MARIA SILVA DE SOUZA ROSENDO
Interna - ***.321.701-** - VIVIANE PEIXOTO DOS SANTOS PENNAFORT - UECE
Externa à Instituição - SUSANA CECAGNO - UFPel