Hospital Waste Management through Green Quality Function Deployment

Transcription

1 Hospital Waste Management through Green Quality Function Deployment VandanaRathore 1, Dr. Devendra Singh Verma 2 Department of Mechanical Engineering, Institute of Engineering & Technology, Devi Ahilya Vishwavidyalaya, Indore (M.P.), India Abstract The high generation rate of medical waste is a proof that medical waste management is problematic. Base on a case study undertaken at different health institutes. This research looks in to the various issues in the field of medical waste management. The research explores the staff s perception towards the medical waste management. The study aims to examine the knowledge level and attitude and role of health care workers towards the medical waste management. Here we study quality index and environmental index of two health care centres one is private hospital and another one is government hospital and compare these two indexes in respect to each other by questionnaire survey. To produce a more environmental friendly services, the customers, and environmental criteria must be taken into account during the decision making process, and the Green Quality Function Deployment (G-QFD) provides a very useful methodology to fulfill this objective. Keywords waste management, G-QFD. I. INTRDUCTIN The main objective of the eco-design is to create services for a sustainable society that will not only reduce the impact on the environment, but also, take into account the expectations of the customer and the economic reality of the services. From this perspective, the Green-QFD methodology is a useful technique for that, not only from traditional viewpoints regarding costs or customers, but also from the environmental perspectives Definition and Classification of Medical Waste All the wastes generated by medical activities come under Health-care waste. They are involved in diagnostic activities and preventive, curative and palliative treatments. There are two types of health care waste: 1) Hazardous waste Clinical/Infectious/medical waste, cytotoxic and cytostatic medicines, batteries, health are chemicals and hazardous properties, radioactive substances, X ray photo chemicals. 2) Non- Hazardous waste. ffensive / hygiene waste, non cyto-toxic and cytostatic medicines, domestic waste, packaging waste, recyclable waste food waste. II. LITERATURE REVIEW Different versions of the Green-QFD help to select the best alternative services taking into account the environmental, customer and cost requirements. Cristofari et al. (1996) combines Quality Function Deployment (QFD) and Green-QFD, Mehta and Wang (2001) utilizes the Eco- Indicator 99 method (Goedkoop and Spriensma, 1999) for quantifying the environmental impact of the product in Green- QFD III. Finally, Dong et al. (2002) includes fuzzy multi-attribute utility theory to estimate the life cycle cost in Green- QFD IV. III. METHDLGY From each independent viewpoint, each alternative receives punctuation. In order to obtain the best conceptual design that integrates all these criteria simultaneously, selection of the best conceptual design. A. Steps of methodology 1) Selection of two hospitals, hospital A [private] and hospital B [government]. 2) Identification of medical waste 3) Preparation of questionnaire for survey In hospital A and hospital B. 4) Data collection, in this study we select group of 50 peoples (patient) and there attenders from hospital A and B. And after doing survey from these peoples we frame quality house of A and B. 5) Development of quality house for hospital A and B from the customer demand and questionnaire Economical, hospital transportation, hygiene of hospital, qualification of doctors, attitude of hospital staff, location of hospital, advance technology. ISSN: Page 1930

2 6) Development of green house for hospital waste management from customer demand occupational safety, harmless to living environment, ecofriendly, departmental training, easy to handle, present waste management system, easy to process waste from production to disposal. IV. QUALITY HUSE FR HSPITAL A Strong (9) Medium(4) Weak (1) CUSTMER DEMAND FUNCTINAL CHARACTERISTICS Environmental comfort Superspeciality center Diagnosis service Paramedical services Procedure charges Ambulance facility outrich Economical 1 Hospital transportation 2 Hygiene of hospital 4 Qualification of doctor 5 Attitude of hospital staff 4 Location of hospital 2 Advance technology 5 FUNCTINAL SPECIFICATIN Ecofreindly setup Cardiac,renal,orthopedicce ntre Advance pathology,radiology services Trained paramedics Affordable Icu on wheel Prime location ABSLUTE IMPRTANCE RELATIVE IMPRTANCE (%) QI= ISSN: Page 1931

3 V. GREEN HUSE FR HSPITAL A CUSTMER DEMAND ccupational safety 5 FUNCTINAL CHARACTERISTICS perational method Colour coding system Environmental impact of technology Amount of energy consumption Collection and segregation of waste Easy functioning Men power requirement Harmless to living environment 4 Ecofriendly 3 Departmental training 3 Easy to handle 4 Present waste management system 3 Easy to process waste from production to disposal 4 FUNCTINAL SPECIFICATIN Autoclaving Yellow, blue, black for different bio-waste Eco- friendly design Less Power consumption Acc. To rule Easy to operate Automatic machinery ABSLUTE IMPRTANCE EI=708 RELATIVE IMPRTANCE (%) ISSN: Page 1932

4 TABLE I CMPARISN F QUALITY HUSE F A AND B N THE BASIS F CUSTMER DEMAND AND QUESTINNAIRE UTPUT: Customer demand for A Economical 1 5 Hospital transportation 2 1 Hygiene of hospital 4 2 Qualification doctors of Attitude of hospital staff Location of hospital 2 2 for B TABLE II CMPARISN F GREEN HUSE FR A AND B N THE BASIS F CUSTMER DEMAND AND QUESTINNAIRE SURVEY: Customer demand for A ccupational safety 5 4 Harmless to living environment 4 2 Eco- friendly 3 2 Departmental training 3 3 Easy to handle 4 2 Present waste management system 3 2 Easy to process 4 1 for B Advance technology 5 2 TABLE III CMPARISN BETWEEN EI AND QI F HSPITAL A AND B: QUALITY INDEX ENVIRNMENTAL INDEX HSPITAL A HSPITAL B Reference -MD Boveal, B Wang [1] ISSN: Page 1933

5 VI. CNCLUSIN n studying various aspects of customer demand and environmental factor in hospital A and hospital B through green QFD it is concluded that quality and waste management system is better in hospital A than hospital B. Suggestions for improvement in quality and waste management system in hospital B are: 1) Recruitment of specialist doctors and skilled paramedical staff. 2) Need of more conscious regarding waste management system by using advance and safe method. REFERRENCE [1] M. D. Bovea1, P and B. Wang, Integration of customer, cost, environment requirements in product design :an application of green QFD. [2] TQM in practice: a Singapore health care centre study, international journal of applied strategic management: volume1 issue 1. [3] Kevinpaulpudussery, a study on the medical waste management at the Norfolk and Norwich university hospital, September [4] k.yegenegi, M.Arasti, M.Mousakhani, the integration of QFD technique and value engineering and its applying in a health care center proceeding 2011 international conference on industrial engineering and operations management kaulalumpur,malasiya,january [5] Tsu-Ming Yeh, Determining medical service improvement priority by integrating the refined Kano model, Quality function deployment and Fuzzy integrals, African Journal of Business Management Vol. 4(12), pp , 18 September, [6] Fabio NevesPuglieria, Aldo mettoa, Paulo Augusto CauchickMiguelb, Eco-design methods for developing new products based on QFD: a literature analysis doi: /pmd [7] IlkeBereketli, Mujd Erol Genevois, H. Ziya Ulukan- Green Product Design for Mobile Phones, World Academy of Science, Engineering and Technology ISSN: Page 1934