PRODUZIONE DI RIFIUTI A RISCHIO INFETTIVO E INDICI DI COMPLESSITÀ IN UN “CENTRO TRAPIANTI”

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Abstract

This paper investigates the waste production in a large hospital facility specialized in organ transplants: Ismett (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione), which is located in Palermo (Italy). Relations were determined between waste quantities and composition on one hand; the complexity of the sanitary structure and the characteristics of treatments provided on the other. The relevant technical Literature contains – almost exclusively – data from surveys made in General Hospitals. These data can be overall – i.e. referring to all operational units present in the structure – or for individual Departments. This study has the peculiarity of processing data on the production of waste in a Hospital dedicated to one type of health care service, namely the transplants and related therapies. With the effective contribution of the Institute, data covering three years (2010-12) were examined and processed. After calculation of waste production indexes it was possible to compare the Ismett with other healthcare facilities. During this investigation data were drawn concerning: active departments, productionof infectious waste per year, number of beds on duty, number of admissions and number of stay’s days. Starting from this data, useful parameters were calculated for studying healthcare waste generation rate. In detail these are: bed occupancy rate, average length of stay and number of occupied beds. To obtain general information it was calculated the waste production indicators internationally used, which relate the healthcare treatments allocated with the waste production and allow comparisons among different sanitary facilities. Drawing from a study of the year 2006 (Nicosia et al., 2006), it was possible to compare the value of the indexes calculated for Ismett with those of four hospitals in Palermo. It was noted a step of one order of magnitude between infectious waste production at Ismett, and the corresponding production in other healthcare facilities; the differences found probably descend from the procedures and the in-patient protection standards put in practice at Ismett, and on the complexity of the operations carried out. The complexity of treatments provided to in-patients is also involved in assessment of healthcare facilities efficiency. To this some indexes of sectors were calculated, which confirm the specificity of Ismett as healthcare facility.
Original languageItalian
Pages (from-to)62-70
Number of pages9
JournalINGEGNERIA DELL'AMBIENTE
Volume2
Publication statusPublished - 2015

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