| Aim: To improve the medical waste management (MWM) standards in Tabriz community
health centers (CHCs) through clinical audit process. Background: Management of medical
waste is not only a legally necessity but also a social responsibility in health systems. Owing to
the potential risks for human health and environmental impacts, MWM is a global concern.
Methods: This was an interventional research designed using clinical audit cycle that was
implemented in Tabriz CHCs in 2016. MWM was assessed through observation, as well as
reviewing relevant documents and interviews with waste workers in CHCs and completion of
a researcher-made checklist. Intervention plans were developed and implemented based on
the assessment results. To analyze the data, Excel 2016 software was used and information
was reported as descriptive statistics through comparison of standards adherence before and
after the interventions. Results: Generally, 30% improvements in MWM standards adherence
were experienced (45.8–75.1%) in the CHCs, after the interventions. The greatest
improvement was observed in the dimensions of management and education, and separation
and collection of medical waste, up to 30 and 28.5%, respectively. Conclusions: As the results
demonstrated, standards of MWM processes were improved in Tabriz CHCs, due to the
intervention. Moreover, it was experienced that using systematic method, stakeholders’
participation and evidence-based planning would lead to process improvement. MWM was
an ignored issue in primary care that must be more in attention. |