Use of performance indicators to assess the solid waste management of health services

ABSTRACT Modern society faces serious challenges, among them, the complexity of environmental problems. Thus, there are several possible sources of environmental degradation, however, the waste produced by health services have an important peculiarity due to its toxic or pathogenic characteristics, since when managed improperly provide also health risk public. The involvement of solid waste from healthcare services environmental impact integrates matters a little more complex, because in addition to environmental health, they also interfere with the healthiness of environments that generate, with the consequences of nosocomial infections, occupational health and public. Thus, the management has become an urgent need, especially when we see no use of performance indicators management in healthcare environments in the city of São Mateus, ES. For this, we used the Analytic Hierarchy Process Method to prioritize such indicators as the potential improvement in health services waste management process - WHS and thus environmental analysis was performed with the use of a template for SWOT analysis. The results showed that the performance indicator training strategies developed with employees has the greatest potential to assist in improvements in WHS (Health Services Waste) management process followed indicator knowledge of the regulations associated with procedures performed by employees and importance of biosafety regulations.

摘要 现代社会面临诸多严峻挑战，环境问题的复杂性便是其中之一。环境退化的潜在诱因多种多样，但医疗服务产生的废物因其毒性或致病性，具备一项重要的独特属性：若处理不当，还会对公众健康构成风险。医疗固体废物所带来的环境影响涉及更为复杂的议题，这类废物不仅关乎环境卫生，还会对其产生源所在环境的健康性造成干扰，进而引发医院感染、职业健康及公共健康层面的诸多不良后果。因此，医疗废物管理已成为一项迫切需求，尤其是在巴西圣埃斯皮里图州圣马特乌斯市的医疗环境中，当地目前尚未采用绩效指标管理体系。为此，本研究采用层次分析法（Analytic Hierarchy Process）对相关指标进行优先级排序，以期助力优化医疗服务废物（Health Services Waste, WHS）管理流程；同时借助SWOT分析模板开展环境分析。研究结果显示，针对员工制定的培训策略类绩效指标，在助力优化医疗服务废物管理流程方面潜力最大；其次为员工需掌握的相关操作规范认知指标，以及生物安全规范的重要性相关指标。