Waste management in the operating theatre

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Abstract

Introduction

Poor clinical waste management and its effect on the environment is an increasingly recognised concern for global healthcare systems. Approximately two thirds of waste produced in healthcare is from the operating theatre. In the Republic of Ireland, an estimated 580,977 tonnes of hazardous waste was produced in 2019. The cost of incineration of this hazardous waste is approximately €2,125 per tonne and €935 per tonne for sterilisation. Pollution from incineration is substantial and harmful.

Methods

A literature review was performed on the topic of hospital waste management, specifically looking at the Republic of Ireland. A comparison could then be drawn between Ireland, Europe and the United States of America. Observation of our current operating theatre environment and practices were carried out.

Discussion

An increased focus towards sustainability and reusable equipment means that there is potentially a decreased amount of waste for disposal, but an increase in the process of sterilisation. Approximately 66% of healthcare related waste is inappropriately contaminated, meaning that significant savings are possible if correct segregation and recycling were to occur. An increase in the amount of bins, identification labels above bins and education of staff results in an increased likelihood of successful segregation of waste. Clear and concise hospital guidelines of what is considered hazardous versus non-hazardous waste will decrease the amount of inappropriately disposed items.

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手术室的废物管理。
导言:临床废物管理不善及其对环境的影响是全球医疗系统日益关注的问题。医疗行业产生的废物约有三分之二来自手术室。在爱尔兰共和国,2019 年产生的有害废物估计达 580,977 吨。这些危险废物的焚烧成本约为每吨 2,125 欧元,消毒成本约为每吨 935 欧元。焚烧产生的污染巨大且有害:方法:我们对医院废物管理这一主题进行了文献综述,特别是对爱尔兰共和国进行了考察。然后对爱尔兰、欧洲和美国进行比较。对我们目前的手术室环境和做法进行了观察:人们越来越重视可持续发展和可重复使用的设备,这意味着需要处理的废物量可能会减少,但消毒过程却会增加。约有 66% 的医疗相关废物受到不适当的污染,这意味着如果进行正确的分类和回收,就有可能节省大量资金。增加垃圾桶的数量、在垃圾桶上方贴上识别标签以及对员工进行教育,都能提高成功分离废物的可能性。清晰简明的医院准则,明确哪些是有害废物,哪些是无害废物,将减少不适当处置物品的数量。
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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
158
审稿时长
6-12 weeks
期刊介绍: Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field. Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.
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