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Babar Tasneem Shaikh - One of the best experts on this subject based on the ideXlab platform.
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Practices and challenges of Infectious Waste management: A qualitative descriptive study from tertiary care hospitals in Pakistan.
Pakistan Journal of Medical Sciences, 2015Co-Authors: Ramesh Kumar, Babar Tasneem Shaikh, Ratana Somrongthong, Robert S. ChapmanAbstract:BACKGROUND AND OBJECTIVE: Infectious Waste management practices among health care workers in the tertiary care hospitals have been questionable. The study intended to identify issues that impede a proper Infectious Waste management. METHODS: Besides direct observation, in-depths interviews were conducted with the hospital administrators and senior management involved in healthcare Waste management during March 2014. We looked at the processes related to segregation, collection, storage and disposal of hospital Waste, and identified variety of issues in all the steps. RESULTS: Serious gaps and deficiencies were observed related to segregation, collection, storage and disposal of the hospital Wastes, hence proving to be hazardous to the patients as well as the visitors. Poor safety, insufficient budget, lack of trainings, weak monitoring and supervision, and poor coordination has eventually resulted in improper Waste management in the tertiary hospitals of Rawalpindi. CONCLUSION: Study has concluded that the poor resources and lack of healthcare worker's training in Infectious Waste results in poor Waste management at hospitals.
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Effectiveness of intensive healthcare Waste management training model among health professionals at teaching hospitals of Pakistan: a quasi-experimental study
BMC Health Services Research, 2015Co-Authors: Ramesh Kumar, Ratana Somrongthong, Babar Tasneem ShaikhAbstract:Background Infectious Waste management has always remained a neglected public health problem in the developing countries, resulting in high burden of environmental pollution affecting general masses. Health workers are the key personnel who are responsible for the management of Infectious Waste at any hospital, however, their proper training and education is must for an optimal performance. This interventional study was conducted to assess the effectiveness of Intensive healthcare Waste management (IHWM) training model at two tertiary care hospitals of Rawalpindi city, Pakistan.
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knowledge attitude and practices of health staff regarding Infectious Waste handling of tertiary care health facilities at metropolitan city of pakistan
Journal of Ayub Medical College Abbottabad, 2013Co-Authors: Ramesh Kumar, Ratana Samrongthong, Babar Tasneem ShaikhAbstract:Background: Health Care Waste (HCW) is considered as the second dangerous Waste in the World that needs to be properly disposed by trained health care staff. Good knowledge, positive attitude and safe practices of medical staff is very imperative while managing this Infectious Waste. This assessment has been conducted to determine the situation and KAP of Infectious Waste management in health care workers working at tertiary care settings health facilities of Rawalpindi, Pakistan. Methods: This study was part of an ongoing quasi-experimental with control and intervention design and was conducted in tertiary care governmental hospitals of Rawalpindi by interviewing healthcare workers (HCWs) who were selected randomly after the sample size calculation. The participants were selected according to the proportional size of the each HCWs for their equal representation from all the groups. Self-administered valid and reliable questionnaire were adapted after taking the written consent. Ethical consideration was taken from ethical committee of Health Services Academy Pakistan. Results: Total 275 HCWs including doctors, nurses, paramedics and sanitary workers were interviewed during this baseline survey. The mean age of the health workers were 30±5 years. Infectious Waste management practices with in both hospitals were not found statistically significant ( p =0.33). However, the socio-demographic information like age, gender, level of education and experience, when compared with the practices were found statistically significant ( p <0.05). Doctors and nurses have better knowledge, positive attitude and good practices compare to paramedics and sanitary staff regarding Infectious Waste management and was found statistically significant ( p <0.05). Conclusions: Practices among HCWs were not found up to the standards in these tertiary care hospitals ofPakistan and were not following the proper guidelines and WHO rules. Keywords : Health Care Workers, Waste Management, Infectious Waste, KAP, Assessment
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KNOWLEDGE, ATTITUDE AND PRACTICES OF HEALTH STAFF REGARDING Infectious Waste HANDLING OF TERTIARY CARE HEALTH FACILITIES AT METROPOLITAN CITY OF PAKISTAN
Journal of Ayub Medical College Abbottabad : JAMC, 2013Co-Authors: Ramesh Kumar, Ratana Samrongthong, Babar Tasneem ShaikhAbstract:Background: Health Care Waste (HCW) is considered as the second dangerous Waste in the World that needs to be properly disposed by trained health care staff. Good knowledge, positive attitude and safe practices of medical staff is very imperative while managing this Infectious Waste. This assessment has been conducted to determine the situation and KAP of Infectious Waste management in health care workers working at tertiary care settings health facilities of Rawalpindi, Pakistan. Methods: This study was part of an ongoing quasi-experimental with control and intervention design and was conducted in tertiary care governmental hospitals of Rawalpindi by interviewing healthcare workers (HCWs) who were selected randomly after the sample size calculation. The participants were selected according to the proportional size of the each HCWs for their equal representation from all the groups. Self-administered valid and reliable questionnaire were adapted after taking the written consent. Ethical consideration was taken from ethical committee of Health Services Academy Pakistan. Results: Total 275 HCWs including doctors, nurses, paramedics and sanitary workers were interviewed during this baseline survey. The mean age of the health workers were 30±5 years. Infectious Waste management practices with in both hospitals were not found statistically significant ( p =0.33). However, the socio-demographic information like age, gender, level of education and experience, when compared with the practices were found statistically significant ( p
Ramesh Kumar - One of the best experts on this subject based on the ideXlab platform.
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Practices and challenges of Infectious Waste management: A qualitative descriptive study from tertiary care hospitals in Pakistan.
Pakistan Journal of Medical Sciences, 2015Co-Authors: Ramesh Kumar, Babar Tasneem Shaikh, Ratana Somrongthong, Robert S. ChapmanAbstract:BACKGROUND AND OBJECTIVE: Infectious Waste management practices among health care workers in the tertiary care hospitals have been questionable. The study intended to identify issues that impede a proper Infectious Waste management. METHODS: Besides direct observation, in-depths interviews were conducted with the hospital administrators and senior management involved in healthcare Waste management during March 2014. We looked at the processes related to segregation, collection, storage and disposal of hospital Waste, and identified variety of issues in all the steps. RESULTS: Serious gaps and deficiencies were observed related to segregation, collection, storage and disposal of the hospital Wastes, hence proving to be hazardous to the patients as well as the visitors. Poor safety, insufficient budget, lack of trainings, weak monitoring and supervision, and poor coordination has eventually resulted in improper Waste management in the tertiary hospitals of Rawalpindi. CONCLUSION: Study has concluded that the poor resources and lack of healthcare worker's training in Infectious Waste results in poor Waste management at hospitals.
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Effectiveness of intensive healthcare Waste management training model among health professionals at teaching hospitals of Pakistan: a quasi-experimental study
BMC Health Services Research, 2015Co-Authors: Ramesh Kumar, Ratana Somrongthong, Babar Tasneem ShaikhAbstract:Background Infectious Waste management has always remained a neglected public health problem in the developing countries, resulting in high burden of environmental pollution affecting general masses. Health workers are the key personnel who are responsible for the management of Infectious Waste at any hospital, however, their proper training and education is must for an optimal performance. This interventional study was conducted to assess the effectiveness of Intensive healthcare Waste management (IHWM) training model at two tertiary care hospitals of Rawalpindi city, Pakistan.
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knowledge attitude and practices of health staff regarding Infectious Waste handling of tertiary care health facilities at metropolitan city of pakistan
Journal of Ayub Medical College Abbottabad, 2013Co-Authors: Ramesh Kumar, Ratana Samrongthong, Babar Tasneem ShaikhAbstract:Background: Health Care Waste (HCW) is considered as the second dangerous Waste in the World that needs to be properly disposed by trained health care staff. Good knowledge, positive attitude and safe practices of medical staff is very imperative while managing this Infectious Waste. This assessment has been conducted to determine the situation and KAP of Infectious Waste management in health care workers working at tertiary care settings health facilities of Rawalpindi, Pakistan. Methods: This study was part of an ongoing quasi-experimental with control and intervention design and was conducted in tertiary care governmental hospitals of Rawalpindi by interviewing healthcare workers (HCWs) who were selected randomly after the sample size calculation. The participants were selected according to the proportional size of the each HCWs for their equal representation from all the groups. Self-administered valid and reliable questionnaire were adapted after taking the written consent. Ethical consideration was taken from ethical committee of Health Services Academy Pakistan. Results: Total 275 HCWs including doctors, nurses, paramedics and sanitary workers were interviewed during this baseline survey. The mean age of the health workers were 30±5 years. Infectious Waste management practices with in both hospitals were not found statistically significant ( p =0.33). However, the socio-demographic information like age, gender, level of education and experience, when compared with the practices were found statistically significant ( p <0.05). Doctors and nurses have better knowledge, positive attitude and good practices compare to paramedics and sanitary staff regarding Infectious Waste management and was found statistically significant ( p <0.05). Conclusions: Practices among HCWs were not found up to the standards in these tertiary care hospitals ofPakistan and were not following the proper guidelines and WHO rules. Keywords : Health Care Workers, Waste Management, Infectious Waste, KAP, Assessment
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KNOWLEDGE, ATTITUDE AND PRACTICES OF HEALTH STAFF REGARDING Infectious Waste HANDLING OF TERTIARY CARE HEALTH FACILITIES AT METROPOLITAN CITY OF PAKISTAN
Journal of Ayub Medical College Abbottabad : JAMC, 2013Co-Authors: Ramesh Kumar, Ratana Samrongthong, Babar Tasneem ShaikhAbstract:Background: Health Care Waste (HCW) is considered as the second dangerous Waste in the World that needs to be properly disposed by trained health care staff. Good knowledge, positive attitude and safe practices of medical staff is very imperative while managing this Infectious Waste. This assessment has been conducted to determine the situation and KAP of Infectious Waste management in health care workers working at tertiary care settings health facilities of Rawalpindi, Pakistan. Methods: This study was part of an ongoing quasi-experimental with control and intervention design and was conducted in tertiary care governmental hospitals of Rawalpindi by interviewing healthcare workers (HCWs) who were selected randomly after the sample size calculation. The participants were selected according to the proportional size of the each HCWs for their equal representation from all the groups. Self-administered valid and reliable questionnaire were adapted after taking the written consent. Ethical consideration was taken from ethical committee of Health Services Academy Pakistan. Results: Total 275 HCWs including doctors, nurses, paramedics and sanitary workers were interviewed during this baseline survey. The mean age of the health workers were 30±5 years. Infectious Waste management practices with in both hospitals were not found statistically significant ( p =0.33). However, the socio-demographic information like age, gender, level of education and experience, when compared with the practices were found statistically significant ( p
Kamala Pokhrel - One of the best experts on this subject based on the ideXlab platform.
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biomedical solid Waste management in an indian hospital a case study
Waste Management, 2005Co-Authors: Gayathri V Patil, Kamala PokhrelAbstract:The objectives of this study were: (i) to assess the Waste handling and treatment system of hospital bio-medical solid Waste and its mandatory compliance with Regulatory Notifications for Bio-medical Waste (Management and Handling) Rules, 1998, under the Environment (Protection Act 1986), Ministry of Environment and Forestry, Govt. of India, at the chosen KLE Society's J. N. Hospital and Medical Research Center, Belgaum, India and (ii) to quantitatively estimate the amount of non-Infectious and Infectious Waste generated in different wards/sections. During the study, it was observed that: (i) the personnel working under the occupier (who has control over the institution to take all steps to ensure biomedical Waste is handled without any adverse effects to human health and the environment) were trained to take adequate precautionary measures in handling these bio-hazardous Waste materials, (ii) the process of segregation, collection, transport, storage and final disposal of Infectious Waste was done in compliance with the Standard Procedures, (iii) the final disposal was by incineration in accordance to EPA Rules 1998, (iv) the non-Infectious Waste was collected separately in different containers and treated as general Waste, and (v) on an average about 520 kg of non-Infectious and 101 kg of Infectious Waste is generated per day (about 2.31 kg per day per bed, gross weight comprising both Infectious and non-Infectious Waste). This hospital also extends its facility to the neighboring clinics and hospitals by treating their produced Waste for incineration.
Mehrdad Askarian - One of the best experts on this subject based on the ideXlab platform.
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A qualitative study of the causes of improper segregation of Infectious Waste at Nemazee Hospital, Shiraz, Iran.
Journal of Infection and Public Health, 2014Co-Authors: Mahbobeh Oroei, Mohsen Momeni, Charles John Palenik, Mina Danaei, Mehrdad AskarianAbstract:Summary Background and objectives Medical Waste management is a major concern for healthcare facilities. One important element is the segregation of Infectious Waste from domestic, non-Infectious Waste. The aim of this qualitative study was to identify factors that negatively affect proper segregation at Nemazee Hospital, which is affiliated with Shiraz University of Medical Sciences. Methods Study data came from focus groups involving hospital workers. Participants expressed their opinions regarding barriers to proper segregation of medical Wastes. The participants gave their permission to have their comments recorded. Data analyses were based on a grounded theory approach. Results The results indicated that managerial weakness was an important factor in suboptimal disposal of medical Waste. It appears that hospital authorities should pay better attention to educational planning, organizational resources and supervision. Together, these considerations should help reduce Waste-management errors. The results also suggest that healthcare worker training needs improvement. In general, patients and their companions, as well as the local population, did not appear to have sufficient knowledge concerning disposal of Infectious medical Waste. Conclusions Hospital authorities should conduct a broad review of medical Waste management, including improved employee training. This step should have a positive effect on local health, as well as the environment. Improvement is also needed in the infection prevention performance of hospital healthcare workers. This approach should reduce additional production of Infectious Waste and costs associated with healthcare.
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Clinical laboratory Waste management in Shiraz, Iran.
Waste Management & Research, 2011Co-Authors: Mehrdad Askarian, Nasrin Motazedian, Charles John PalenikAbstract:Clinical laboratories are significant generators of Infectious Waste, including microbiological materials, contaminated sharps, and pathologic Wastes such as blood specimens and blood products. Most Waste produced in laboratories can be disposed of in the general solid Waste stream. However, improper management of Infectious Waste, including mixing general Wastes with Infectious Wastes and improper handling or storage, could lead to disease transmission. The aim of this study was to assess Waste management processes used at clinical laboratories in Shiraz, Iran. One hundred and nine clinical laboratories participated In this cross sectional study, Data collection was by questionnaire and direct observation. Of the total amount of Waste generated, 52% (by weight) was nonInfectious domestic Waste, 43% was non-sharps Infectious Waste and 5% consisted of sharps. There was no significant relationship between laboratory staff or manager education and the score for quality of Waste collection and disposal at clinical laboratories. Improvements in Infectious Waste management processes should involve clearer, more uniformly accepted definitions of Infectious Waste and increased staff training.
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A TOTAL QUALITY MANAGEMENT APPROACH TO HEALTHCARE Waste MANAGEMENT IN NAMAZI HOSPITAL, IRAN
Waste Management, 2010Co-Authors: Mehrdad Askarian, Peigham Heidarpoor, Ojan AssadianAbstract:Abstract Background Healthcare Waste comprises all Wastes generated at healthcare facilities, medical research centers and laboratories. Although 75–90% of these Wastes are classified as household Waste posing no potential risk, 10–25% are deemed to be hazardous, representing a potential threat to healthcare workers, patients, the environment and even the general population, if not disposed of appropriately. If hazardous and non-hazardous Waste is mixed and not segregated prior to disposal, costs will increase substantially. Medical Waste management is a worldwide issue. In Iran, the majority of problems are associated with an exponential growth in the healthcare sector together with low- or non-compliance with guidelines and recommendations. The aim of this study was to reduce the amounts of Infectious Waste by clear definition and segregation of Waste at the production site in Namazi Hospital in Shiraz, Iran. Materials and methods Namazi Hospital was selected as a study site with an aim to achieving a significant decrease in Infectious Waste and implementing a total quality management (TQM) method. Infectious and non-Infectious Waste was weighed at 29 admission wards over a 1-month period. Results Before the introduction of the new guidelines and the new Waste management concept, weight of total Waste was 6.67 kg per occupied bed per day (kg/occupied bed/day), of which 73% was Infectious and 27% non-Infectious Waste. After intervention, total Waste was reduced to 5.92 kg/occupied bed/day, of which Infectious Waste represented 61% and non-Infectious Waste 30%. The implementation of a new Waste management concept achieved a 26% reduction in Infectious Waste. Conclusion A structured Waste management concept together with clear definitions and staff training will result in Waste reduction, consequently leading to decreased expenditure in healthcare settings.
Nikolaos Iosifidis - One of the best experts on this subject based on the ideXlab platform.
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Composition and production rate of solid Waste from dental laboratories in Xanthi, Greece.
Waste Management, 2008Co-Authors: Dimitrios Komilis, Evangelos A. Voudrias, S. Anthoulakis, Nikolaos IosifidisAbstract:The composition and production rate of solid Waste produced by four dental laboratories were measured in the Prefecture of Xanthi (Greece) during 2002. The selected dental labs in Xanthi were expected to produce approximately 75% of the Waste produced from of all seven dental laboratories in the Xanthi Prefecture. Sampling was performed during a 2-month period. Solid Waste was categorized into three major categories: (a) Infectious and potentially Infectious Waste, (b) non-Infectious toxic Waste and (c) household type solid Waste. Dental laboratories solid Waste (DLSW) was produced at a rate of 0.059 g/cap/day (or 22 g/cap/year) at the time of the study. Household type Waste, Infectious and potentially Infectious Waste and non-Infectious toxic Waste comprised approximately 74%, 26% and less than 0.5% of the total DLSW weight produced, respectively. DLSW was estimated to be approximately 0.007% of the amount of municipal solid Waste produced in the Prefecture of Xanthi.
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Composition and production rate of dental solid Waste in Xanthi, Greece: variability among dentist groups.
Waste Management, 2005Co-Authors: Elly Kizlary, Nikolaos Iosifidis, Evangelos A. Voudrias, Dimitrios PanagiotakopoulosAbstract:Abstract The objective of this work was to determine the composition and production rate of dental solid Waste, produced by dental practices in the Prefecture of Xanthi , a multicultural area in Northeast Greece with a population of 102,000. For the study, 22 private dental practices and 1 public dental practice were selected of the 48 private and 5 public dental practices in operation. The 22 private dental practices included 16 owned by Christian Greek-born dentists, 3 by Moslem dentists and 3 by Christian dentists repatriated from the former Soviet Union. Differentiation on the basis of religion is directly related to the countries from which dentists received their training, e.g., Greece-European Union, Turkey and former Soviet Union. Thus, including the one public dental practice, 4 study groups were considered. Waste collection took place for 22 working days, from 20 May to 27 June 2002. This period was considered to be a representative one for a semi-rural area, such as Xanthi. Dentists were instructed to collect the total amount of Waste they produced. A total of 260 kg dental solid Waste was collected during the study period and was manually separated. Dental solid Waste was classified in three main categories: (1) Infectious and potentially Infectious Waste, accounting for 94.7% by weight. (2) Non-Infectious Waste accounting for 2.0%. (3) Domestic-type Waste, accounting for 3.3% by weight. The category of Infectious Waste is classified as hazardous and includes components containing metal (8.51%), components without metal (91.18%) and amalgam (0.33%). Using the weight data, the production rate of dental solid Waste for the study period in the Prefecture of Xanthi was determined to be 513 g/practice/day and of Infectious and potentially Infectious Waste 486 g/practice/day. The latter includes the production rate of sharps (9.8 g/practice/day), non-sharps (31.6), Infectious Waste without metal (443) and amalgam (1.6 g/practice/day). Since dental solid Waste is currently disposed of in landfills together with the municipal solid Waste, the results of the study were used to suggest an appropriate management scheme. The results were also used to compare the composition and production rates of dental solid Waste produced by the 4 study groups.