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.

Estado actual de la formación científica e investigativa y de su gestión en el Hospital General "Dr. Juan Bruno Zayas Alfonso" / Current State of the scientific and investigative training and of its management in "Dr. Juan Bruno Zayas Alfonso" General Hospital

Se describen las principales características del Hospital General Docente "Dr. Juan Bruno Zayas Alfonso" de santiago de Cuba, haciendo énfasis en la formación y gestión científica e investigativa de estudiantes y profesionales en la institución, así como dando a conocer las debilidades, amenazas, fortalezas y oportunidades que afectan o favorecen la consecución de ese importante objetivo estratégico, lo cual expresa las potencialidades de esta institución en la solución a los problemas de salud del territorio.

The main characteristics of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba are described, emphasizing in the training and students' scientific, investigative and professional management in the institution, as well as making known the weaknesses, threats, strengths and opportunities that affect or favour the achievement of that important strategic objective, which expressed the potentialities of this institution in the solution to the health problems of the te.

Plan de acción para la preservación documental en la biblioteca del Policlínico Norte del municipio Florida, Camagüey / Action Plan for document preservation at the library of the North Polyclinic in Florida, Camaguey

Objetivo: elaborar un plan de acción que contribuya a la preservación documental en la biblioteca del Policlínico Norte, de Florida, en Camagüey. Métodos: se realizó un estudio de evaluación durante los meses de marzo a junio de 2012. Se aplicó el método de análisis documental a una muestra de 325 documentos monográficos, con el propósito de identificar el grado de deterioro físico de la colección. Resultados: la observación permitió diagnosticar las condiciones de almacenamiento. Se aplicó también una matriz DAFO como instrumento gerencial. El fondo bibliográfico mostró elevados niveles de deterioro. Las condiciones de almacenamiento no propiciaban la preservación documental. Conclusiones: Se constató el predominio de las debilidades sobre las fortalezas, así como de las amenazas sobre las oportunidades, lo que ubica a la unidad en el cuarto cuadrante de la matriz. De acuerdo con esto, se propone un conjunto de acciones que eviten el incremento del deterioro(AU)

Objective: to develop an action plan that contributes to the documentary preservation at the Library of North Polyclinic in Florida, Camagüey. Methods: an evaluation study was conducted from March to June 2012. The method of document analysis to a sample of 325 case records was applied in order to identify the degree of physical deterioration of the collection. The observation led to the diagnosis of storage conditions. A SWOT matrix was also applied as a management tool. Results: the bibliographic showed high levels of impairment. Storage conditions were not conducive to documentary preservation. The predominance of the weaknesses of the strengths was found, as well as threats of the opportunities, which placed the unit in the fourth quadrant of the matrix. Accordingly a set of actions that prevent increased deterioration is proposed. The bibliographic showed high levels of impairment. Storage conditions were not conducive to preservation documentary. Conclusions: the predominance of weaknesses over strengths was found, as well as threats over opportunities, which places this unit in the fourth quadrant of the matrix. Accordingly a set of preventing against increased deterioration is proposed(AU)

Plan de acción para la preservación documental en la biblioteca del Policlínico Norte del municipio Florida, Camagüey / Action Plan for document preservation at the library of the North Polyclinic in Florida, Camaguey

Objetivo: elaborar un plan de acción que contribuya a la preservación documental en la biblioteca del Policlínico Norte, de Florida, en Camagüey. Métodos: se realizó un estudio de evaluación durante los meses de marzo a junio de 2012. Se aplicó el método de análisis documental a una muestra de 325 documentos monográficos, con el propósito de identificar el grado de deterioro físico de la colección. Resultados: la observación permitió diagnosticar las condiciones de almacenamiento. Se aplicó también una matriz DAFO como instrumento gerencial. El fondo bibliográfico mostró elevados niveles de deterioro. Las condiciones de almacenamiento no propiciaban la preservación documental. Conclusiones: Se constató el predominio de las debilidades sobre las fortalezas, así como de las amenazas sobre las oportunidades, lo que ubica a la unidad en el cuarto cuadrante de la matriz. De acuerdo con esto, se propone un conjunto de acciones que eviten el incremento del deterioro

Objective: to develop an action plan that contributes to the documentary preservation at the Library of North Polyclinic in Florida, Camagüey. Methods: an evaluation study was conducted from March to June 2012. The method of document analysis to a sample of 325 case records was applied in order to identify the degree of physical deterioration of the collection. The observation led to the diagnosis of storage conditions. A SWOT matrix was also applied as a management tool. Results: the bibliographic showed high levels of impairment. Storage conditions were not conducive to documentary preservation. The predominance of the weaknesses of the strengths was found, as well as threats of the opportunities, which placed the unit in the fourth quadrant of the matrix. Accordingly a set of actions that prevent increased deterioration is proposed. The bibliographic showed high levels of impairment. Storage conditions were not conducive to preservation documentary. Conclusions: the predominance of weaknesses over strengths was found, as well as threats over opportunities, which places this unit in the fourth quadrant of the matrix. Accordingly a set of preventing against increased deterioration is proposed