在皮肤科诊所减少受管制的医疗废物。

IF 3.5 3区 医学 Q1 DERMATOLOGY Dermatology and Therapy Pub Date : 2024-11-01 Epub Date: 2024-10-10 DOI:10.1007/s13555-024-01279-w
Divya K Sharma, Lilia C Murase, Misha Rosenbach, John S Barbieri, Jenny E Murase
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引用次数: 0

摘要

导言:在医疗保健环境中处置受管制的医疗废物 (RMW) 不仅成本高昂,而且对环境有害。先前的研究发现,RMW容器中处理的大量废物放置不当。迄今为止,很少有研究调查了在皮肤科环境中减少废物的有效性:本研究旨在评估在皮肤科门诊环境中采取全诊所干预措施以减少 RMW 的效果。通过每日废物审计和同时进行的两次教育干预,将测量产生的 RMW 量和适当放置 RMW 的百分比。通过比较干预前与干预后的数值,将进行进一步分析:结果:在采取任何干预措施之前,正确放置在 RMW 容器中的废物比例为 11%。两次教育干预后,正确放置在 RMW 容器中的废物比例增加了 56.1%(CI 值为 43.7-68.5%),被识别为 RMW 并进行处置的废物总量比例下降了 6.0%(95% CI 值为 1.2-10.8%):我们的研究为皮肤科医疗机构提供了实用的数据,使其能够做出微小的改变,从而显著减少受管制的医疗废物,为环境带来潜在的益处并节约成本。
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Regulated Medical Waste Reduction in the Dermatology Clinic.

Introduction: The disposal of regulated medical waste (RMW) in the healthcare setting can be both costly and environmentally harmful. Prior studies have found large amounts of waste disposed of in RMW containers are inappropriately placed. Few studies to date have investigated the efficacy of waste reduction practices in the dermatology setting.

Methods: This study aims to evaluate the effectiveness of a practice-wide intervention in reducing RMW in the outpatient dermatology setting. By performing daily waste audits and two concurrent educational interventions, the amount of RMW produced and percent of appropriately placed RMW will be measured. Further analysis will occur by comparing pre-intervention values to post-intervention values.

Results: The percentage of waste properly placed in RMW containers prior to any intervention was 11%. Following both educational interventions, the percentage of waste properly placed in RMW containers increased by 56.1% (CI 43.7-68.5%) and the percentage of total waste produced that was identified and disposed of as RMW decreased by 6.0% (95% CI 1.2-10.8%).

Conclusion: Our study provides practical data for dermatology providers to make small changes which can result in significant reductions of regulated medical waste, potentially providing benefits to the environment and cost-savings.

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来源期刊
Dermatology and Therapy
Dermatology and Therapy Medicine-Dermatology
CiteScore
6.00
自引率
8.80%
发文量
187
审稿时长
6 weeks
期刊介绍: Dermatology and Therapy is an international, open access, peer-reviewed, rapid publication journal (peer review in 2 weeks, published 3–4 weeks from acceptance). The journal is dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of dermatological therapies. Studies relating to diagnosis, pharmacoeconomics, public health and epidemiology, quality of life, and patient care, management, and education are also encouraged. Areas of focus include, but are not limited to all clinical aspects of dermatology, such as skin pharmacology; skin development and aging; prevention, diagnosis, and management of skin disorders and melanomas; research into dermal structures and pathology; and all areas of aesthetic dermatology, including skin maintenance, dermatological surgery, and lasers. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports/case series, trial protocols, and short communications. Dermatology and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an International and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of quality research, which may be considered of insufficient interest by other journals. The journal appeals to a global audience and receives submissions from all over the world.
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