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Orientador(es)
Resumo(s)
RESUMO - Introdução: A endoscopia é considerada o 3º maior gerador de resíduos biológicos
devido à utilização de materiaos de uso único, ao elevado número de procedimentos e
inadequada gestão de resíduos. Os objetivos deste estudo são comparar a pegada de
carbono, as despesas de processamento de resíduos e o total de resíduos
endoscópicos produzidos antes e depois de uma intervenção desenvolvida na unidade
de endoscopia do Hospital de Santa Maria, em Lisboa, Portugal.
Metodologia: Estudo prospectivo divido em três etapas. Pré-intervenção (etapa 1):
auditoria interna e pesagem diária dos resíduos endoscópicos durante quatro semanas.
Intervenção (etapa 2): ação de sensibilização sobre segregação de resíduos e incentivo
à reciclagem. Pós-intervenção (etapa 3): pesagem diária dos resíduos endoscópicos
durante quatro semanas. Os resultados pré e pós-intervenção (pegada de carbono,
despesas de processamento de resíduos e total de resíduos endoscópicos) foram
comparados usando testes t para amostras emparelhadas e testes de Wilcoxon. Cálculo
da pegada de carbono: cada Kg de resíduos em aterro equivale a 1kgCO2e, cada Kg de
resíduos médicos regulamentados (RMW) equivale a 3kgCO2e.
Resultados: Realizaram-se 1058 procedimentos endoscópicos (antes da intervenção:
517, depois: 541). A pegada de carbono reduziu significativamente (de 1859,5KgCO2e
para 1334,8KgCO2e, p = 0,004), as despesas de processamento de resíduos (de 302,1
USD para 208,1 USD, p = 0,004). No total de resíduos produzidos não foram verificadas
alterações significativas (de 706,9Kg para 667,8Kg, p = 0,539).
Conclusão: Considera-se que a intervenção teve um impacto positivo. Através da
formação, sensibilização e adoção de práticas clínicas sustentáveis (segregação de
resíduos e reciclagem), a pegada de carbono, as despesas provenientes da gestão de
resíduos e o total de resíduos gerados foram reduzidos.
ABSTRACT - Background: Endoscopy is the third source of hazardous waste in healthcare institutions due to single-use devices, the number of procedures, and waste management. The objectives were to compare the carbon footprint, waste processing expenses, and total endoscopic waste produced before and after a sustainability intervention in the endoscopy unit at Santa Maria Hospital. Methods: We conducted a three stages, prospective study. Pre-intervention (stage 1): internal audit, and daily weighting of endoscopic waste over 4 weeks. Intervention (2): awareness training on waste segregation and recycling promotion. Post-intervention (3): daily weighting of endoscopic waste over 4 weeks. Pre and post-intevention outcomes (carbon footprint, waste processing expenses, and total endoscopic waste) were compared using paired sample t-tests and Wilcoxon tests. Carbon footprint calculation; each Kg from landfill waste equals 1kgCO2e, each Kg from regulated medical waste (RMW) equals 3kgCO2e. Results: There were 1058 endoscopic procedures (before the sustainability intervention: 517, after: 541). The carbon footprint was significantly reduced (from 1859.5KgCO2e to 1334.8KgCO2e, p = 0.004), the waste processing expenses (from 302.1 USD to 208.1 USD, p = 0.004). The total waste generated was marginally (not significantly) reduced (from 706.9Kg to 667.8Kg, p = 0.539). Conclusions: The sustainability intervention showed a significant impact. Through education and the adoption of sustainable clinical practices (waste segregation and recycling), carbon footprint, waste management expenses and total waste generated were reduced.
ABSTRACT - Background: Endoscopy is the third source of hazardous waste in healthcare institutions due to single-use devices, the number of procedures, and waste management. The objectives were to compare the carbon footprint, waste processing expenses, and total endoscopic waste produced before and after a sustainability intervention in the endoscopy unit at Santa Maria Hospital. Methods: We conducted a three stages, prospective study. Pre-intervention (stage 1): internal audit, and daily weighting of endoscopic waste over 4 weeks. Intervention (2): awareness training on waste segregation and recycling promotion. Post-intervention (3): daily weighting of endoscopic waste over 4 weeks. Pre and post-intevention outcomes (carbon footprint, waste processing expenses, and total endoscopic waste) were compared using paired sample t-tests and Wilcoxon tests. Carbon footprint calculation; each Kg from landfill waste equals 1kgCO2e, each Kg from regulated medical waste (RMW) equals 3kgCO2e. Results: There were 1058 endoscopic procedures (before the sustainability intervention: 517, after: 541). The carbon footprint was significantly reduced (from 1859.5KgCO2e to 1334.8KgCO2e, p = 0.004), the waste processing expenses (from 302.1 USD to 208.1 USD, p = 0.004). The total waste generated was marginally (not significantly) reduced (from 706.9Kg to 667.8Kg, p = 0.539). Conclusions: The sustainability intervention showed a significant impact. Through education and the adoption of sustainable clinical practices (waste segregation and recycling), carbon footprint, waste management expenses and total waste generated were reduced.
Descrição
Trabalho Final do Curso de Especialização em Administração Hospitalar
Palavras-chave
Endoscopia Pegada de carbono Eliminação de resíduos médicos Reciclagem Endoscopy Carbon Footprint Medical Waste Disposal Recycling
Contexto Educativo
Citação
Editora
Universidade Nova de Lisboa. Escola Nacional de Saúde Pública