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Medical waste management improvement in community health centers: an interventional study in Iran

Jafar Sadegh Tabrizi1, Mohammad Saadati2, Mahdieh Heydari3

  • 1Department of Health Service Management, Tabriz Health Service Management Research Centre, School of Health Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.

Primary Health Care Research & Development
|August 21, 2018
PubMed
Abstract

Insights

Implementing a clinical audit improved medical waste management (MWM) standards in Tabriz community health centers (CHCs) by 30%. This systematic approach enhanced waste separation, collection, management, and education, highlighting MWM

Area of Science:

  • Public Health
  • Environmental Health
  • Healthcare Management

Background:

  • Medical waste management (MWM) is critical for public health and environmental protection.
  • Adherence to MWM standards is a legal and social responsibility within healthcare systems.
  • Ineffective MWM poses significant risks to human health and the environment globally.

Purpose of the Study:

  • To enhance medical waste management (MWM) standards in Tabriz community health centers (CHCs).
  • To implement and evaluate a clinical audit process for improving MWM practices.

Main Methods:

  • An interventional study utilizing a clinical audit cycle in Tabriz CHCs (2016).
  • MWM assessment via observation, document review, interviews, and a custom checklist.
  • Intervention plans developed and executed based on assessment findings; data analyzed using Excel 2016.

Main Results:

  • A 30% overall improvement in MWM standards adherence was achieved (from 45.8% to 75.1%).
  • Significant improvements noted in waste management and education (30%) and waste separation and collection (28.5%).

Conclusions:

  • The clinical audit intervention successfully improved MWM standards in Tabriz CHCs.
  • Systematic methods, stakeholder engagement, and evidence-based planning are key to process improvement in MWM.
  • Medical waste management requires greater attention, particularly within primary care settings.
Keywords:
clinical auditcommunity health centermedical wasteprocess improvement

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