Information Management of Hospital Medical Waste Treatment—Beijing Friendship Hospital Affiliated to Capital Medical University uses Zebra Printer 2844 to process medical waste
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Industry Status
After SARS was controlled in 2003, the issue of medical waste management has attracted social attention. On June 16, 2003, the Ministry of Health promulgated the “Medical Waste Management Regulations”, bringing medical waste management into the legal track. Subsequently, experts discussed the management of medical waste from multiple angles including IS014000 environmental management system, ethics, and sociology. It can be seen that medical waste management is not only a relatively new hospital management problem, but also an important public health issue. The Friendship Hospital has designed and implemented the “Beijing Friendship Hospital Medical Waste Management Information System” since 2006, and has achieved some results.
challenge
Analyzing the entire process, we can find the following management difficulties: The first is the handover of medical waste. The basic process of medical waste treatment in hospitals is that the nurse at the place where the medical waste is generated shall classify and identify the domestic waste and medical waste, and then the medical waste transport worker will carry out the handover procedure with the nurse at the place where the medical waste is generated. The personnel of the medical waste turnover station shall carry out the handover procedures. Finally, the workers of the medical waste turnover station shall weigh the medical waste and the personnel of the medical waste treatment plant shall carry out the handover procedures.
From this point of view, medical waste has been handed over at least three times from generation to delivery. If handover is used in writing, it is not only cumbersome, but the scattered “Medical Waste Handover Book” is both a new source of pollution and may cause cross-infection. Then there is the tracking of medical waste. Although there is a written delivery of medical waste, the delivery points are scattered, and the entire process of medical waste cannot be tracked, let alone a bag of medical waste with special significance. Finally, the statistics of medical waste. Due to the heavy workload, manuals cannot count the quantity, weight and cost of medical waste by department, region, type, time period, and personnel. Therefore, quality control, cost accounting, and performance appraisal cannot be performed based on statistical information.
solution
Based on the analysis of the basic procedures and management difficulties of hospital medical waste management, and following the “Medical Waste Management Regulations”, IS014000 environmental management system standards and ethical principles, the “Beijing Friendship Hospital Medical Waste Management System” was designed and implemented. The key technologies are as follows:
Hardware foundation
Use the existing equipment of the Hospital Information System (HIS), mainly the PC terminal of the nurse station and the barcode printer (Zebra Company Type 2844 barcode printer, originally used for the printing of inspection barcodes) to complete the identification of medical waste; each nurse station is equipped RFID identification device completes the handover between nurses and transport workers; the medical waste transfer station is equipped with PC terminals, electronic scales, barcode scanners, RFID identification devices and printers to complete the weighing and handover of medical waste.
Non-contact recognition technology
In order to avoid cross-infection, non-contact identification technology is used in the handover of medical waste.
We use barcodes to identify medical waste, and the content of the identification meets the requirements of the Regulations on Medical Waste Management.
We use RFID to identify medical waste transport workers. The RFID card has a storage space of 2K and a recognition distance of 10 cm. These two points are better than ordinary IC cards. The RFID card can not only store the user name and password of the transportation worker, but also store the training and physical examination files of the transportation worker, so that not only the identity confirmation can be completed, but also the information of the transportation worker can be read offline.
Exchange information with the death case management system, the nosocomial infection management system, and the infectious disease management system
The management of medical waste and the management of death cases is an important part of nosocomial infection management and infectious disease prevention and control, so the information exchange of the four management systems is very important. For example: My hospital once admitted a rabies patient on Saturday, and the diagnosis was unclear. During treatment, a nurse was unfortunately stabbed by the patient’s infusion needle. The patient had a clear diagnosis on Monday and died shortly after being transferred to the infectious disease hospital. Through the medical waste management system, it was traced that the sharp medical waste generated in the ward on Saturday was still in the ward, and the relevant personnel were immediately notified to deal with it.
result
Business process reorganization of medical waste treatment
The transfer records are uniformly printed and kept, the medical waste transfer books in the place of occurrence are cancelled, and the non-contact transfer is adopted to avoid cross-infection and the generation of new sources of infection. The workload of medical waste generation areas has decreased, the workload of garbage transport workers has not changed, and the workload of garbage transfer stations has increased.
Quality control of medical waste treatment
The Hospital Infection Management Department realizes the dynamic real-time management of medical waste through this system. Not only can it monitor the entire medical waste treatment process; it can also track the medical waste with special significance to prevent the loss of the entire bag of medical waste; it can also track the weight change (weight reduction) of the designated medical waste purposefully, and spot check the medical waste. The phenomenon of garbage outflow.
The Hospital Infection Management Department can formulate a targeted medical waste management plan based on the data of the region (ward, outpatient and emergency), department, type, and time period of the medical waste occurrence location calculated by this management system.
The Hospital Infection Management Department can obtain the general route of medical waste transportation through this system, and can work out a reasonable medical waste transportation route based on the situation of the place where the medical waste occurs.
The hospital infection management department can obtain the peak storage capacity of the medical waste turnover station through this system, which provides important data for the reasonable layout of the turnover station.
Cost accounting of medical waste treatment
The hospital logistics management center can purposefully track the weight change (weight increase) of the designated medical waste, and spot checks on the inaccurate weighing of the medical waste transfer station, thereby reducing the cost of medical waste treatment.
The logistics management center of the hospital, based on the statistics of the regions and departments of the medical waste generated by this management system, and combined with the workload and nature of the regions and departments, worked out the range of medical waste quantity indicators for each region and department. , The implementation of the policy of rewarding the good and penalizing the poor has prompted all departments to strictly classify medical waste, thereby reducing the cost of medical waste treatment.
Performance appraisal of medical waste treatment
The hospital logistics management center formulated performance appraisal standards based on the workload data of transportation workers and turnover station workers calculated by this management system, combined with specific work conditions.
in conclusion
The information management of medical waste treatment in hospitals can use the existing equipment of HIS, and the information technology used is more mature, which can reduce the workload of clinical front-line staff, improve the quality control level of medical waste treatment, and greatly reduce the cost of medical waste treatment. Cost can meet the requirements of staff performance appraisal. Therefore, the information management of hospital medical waste treatment has good economic and social benefits.
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