1

MEDICAL WASTE MANAGEMENT USING

FOCUS-PDCA MODEL

Rawan abu abbas/

 Find an Opportunity For Improvement
2

 Medical waste minimization In hospital

 Medical Waste Weight in hospital 1.8kg each bed ,
We desired out come 0 .7 Kg each bed Within 6
month
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FIND OPPORTUNITY FOR IMPROVEMENT

  Jan Feb Mar Apr
Medical waste weight/bed per
Day 1.7 1.65 1.75 1.8

1.85

1.8

1.75

1.7

1.65

1.6

1.55
jan feb mar apr
 Organize A Team
4

 Quality Coordinator
 Risk Management officer
 Infection Control Committee
 Safety Officer
 Nursing Director
 Medical Director
 Continues Education
 Supplies Section
 Clarify the current process
5 Hospital Waste

NON Medical Waste 85% Medical Waste 15%

Black bag Dangerous Very Dangours

Garbage Yellow bag Red bag

 Uncover the Root Causes
6

The Organize Team identified many possible

reasons through brain storming which is
plotted using a fish bone model.
 7

FISHBONE DIAGRAM USED TO IDENTIFY ROOT CAUSES

 Root Cause Verification
8

 To confirm the reasons and collect data the

following techniques are used:

-Personal Interview
- Observation
 Uncover/Verify Root Causes
9

OCCURRENCE
No of Cumulative
SL No Reasons %
Responses %
1 No policy 27 18 18
2 Lack of awareness for Medical waste segregation 19 12.6 30.6

3 Confusion between medical and non medical waste 19 12.6 43.2

4 No audit by Risk Management 17 11.3 54.5

5 No orientation regarding the process 14 9.3 63.8
6 Lack of education 12 8 71.8
7 Increase workload 10 6.6 78.4
8 No System In place 8 5.3 83.7
9 Error not considered as error to report 7 4.7 88.4
10 No audit by safety officier 5 3.3 91.7
11 No risk Management program 5 3.3 95
12 No reinforcement by HOD (Head Of Department) 4 2.6 97.6
 Uncover/Verify Root Causes
10

OCCURRENCE
No of Cumulative
SL No Reasons %
Responses %
13 No regular feedback by Waste Employee 2 1.3 98.9

14 Lack of medical waste tracking 2 1.3 100

TOTAL 150
 Pareto Diagram Used to Verify Root
Causes
11
30
97.6 98.9 100 100
95
Number of Responses

91.7 90
88.4
25 83.7
78.4 80
71.8 70
20
63.8
60
54.5
15 50
43.2
40
10
30.6 30

18 20
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10
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REASONS
 Plan the Improvement
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Sl No Areas of improvement Responsible Person Cost Date of
Completion

Infection Control Team /

1 No policy Nil 1-6aug 2020
QD/Risk Officer

2 Training for Medical waste Quality Coordinator

Continues Education
Nil 6 aug. 2020
segregation Ongoing
Infection Control Committee

Medical waste Dep.

Risk Manger aug 2020
3 audit Nil ongoing
Infection Control
Safety Officer
 Plan the Improvement
13

Sl No Areas of improvement Responsible Person Cost Date of Completion

Educator
4 orientation regarding the HOD Nil May 2019
process Quality Coordinator On going

Q.D
5 availability Of discarded Risk Management 500 JOD May 2019
material Medical Director monthly On going
Supplies Section

Medical Director
6 Increase Staffing Nursing Director Depending May 2019 on going
Turn over problem solving HR On
Q.D
 Do
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 Some Planned Solutions were implemented

Immediately and the others are on going.
 Check did it works?
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• Medical Waste Weight Report

BEFORE AFTER
1.85 1.8
1.8 1.6
1.4
1.75 1.2
1
1.7 0.8
1.65 0.6
0.4
1.6 0.2
0
1.55 May June July August
jan feb mar apr
 Improvement Noticed
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 Audit schedule planned.

 Action plan by Medical Waste Dep. was shared
and will be done on regular bases.
 Act: Maintain the Gain
17

 Ongoing education.
 Staff is aware of different types of Medical
Waste.
 Audits & reports by Risk management &
Infection Control to Quality Department .
 Publicize our success to departments and
hospital director.
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THANK YOU!!!