International Journal of Engineering Trends and Technology (IJETT) - Volume4Issue5- May 2013

Hospital Waste Management through Green Quality Function Deployment

VandanaRathore1, Dr. Devendra Singh Verma2
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 staffs 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.

Offensive / 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- Indicator99 method (Goedkoop and Spriensma, 1999) for quantifying the environmental impact of the product in GreenQFD III. Finally, Dong et al. (2002) includes fuzzy multi-attribute utility theory to estimate the life cycle cost in Green- QFD IV. III. METHODOLOGY 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.

I. INTRODUCTION 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.

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International Journal of Engineering Trends and Technology (IJETT) - Volume4Issue5- May 2013

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 HOUSE FOR HOSPITAL A

O

Strong (9) Medium(4) Weak (1)

FUNCTIONAL CHARACTERISTICS

Environmental comfort

Superspeciality center

Paramedical services

Ambulance facility

Procedure charges

Diagnosis service

CUSTOMER DEMAND Economical Hospital transportation Hygiene of hospital Qualification of doctor Attitude of hospital staff Location of hospital Advance technology

O 1 2 4 5 4 O 2 5
Cardiac,renal,orthopedicce ntre

O O

Trained paramedics

Advance pathology ,radiology services

FUNCTIONAL SPECIFICATION

Ecofreindly setup

Prime location

Icu on wheel

Affordable

outrich

59 ABSOLUTE IMPORTANCE 15.6 RELATIVE IMPORTANCE (%)

103 27.2

99 26

32 8.4

29 7.6

30 8

26 6.8

QI=378

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International Journal of Engineering Trends and Technology (IJETT) - Volume4Issue5- May 2013

V. GREEN HOUSE FOR HOSPITAL A

Environmental impact of technology

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

5 4 3 3 4 3 4

Less Power consumption

Yellow, blue, black for different bio-waste

Automatic machinery

Eco- friendly design

FUNCTIONAL SPECIFICATION

Easy to operate

Acc. To rule

Autoclaving

Men power requirement

FUNCTIONAL CHARACTERISTICS

Colour coding system

Collection and segregation of waste

Operational method

Amount of energy consumption

Easy functioning

EI=708 ABSOLUTE IMPORTANCE RELATIVE IMPORTANCE (%) 162 22.8 95 13.3 90 12.7 27 3.8 151 21.3 63 8.8 120 17

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International Journal of Engineering Trends and Technology (IJETT) - Volume4Issue5- May 2013

TABLE I COMPARISON OF QUALITY HOUSE OF A AND B ON THE BASIS OF CUSTOMER DEMAND AND QUESTIONNAIRE OUTPUT:

TABLE II COMPARISON OF GREEN HOUSE FOR A AND B ON THE BASIS OF CUSTOMER DEMAND AND QUESTIONNAIRE SURVEY:

Customer demand

Questionnaire survey output for A 1

Questionnaire survey output for B 5

Customer demand

Questionnaire survey output for A 5 4

Questionnaire survey output for B 4 2

Economical

Occupational safety Harmless to living environment Eco- friendly Departmental training Easy to handle

Hospital transportation Hygiene of hospital Qualification doctors of

4 5

2 3

3 3

2 3

4 3

2 2

Attitude of hospital staff Location of hospital Advance technology

3 Present waste management system

2 5

2 Easy to process 2 4 1

TABLE III COMPARISON BETWEEN EI AND QI OF HOSPITAL A AND B:

QUALITY INDEX

ENVIRONMENTAL INDEX

HOSPITAL A

378 348

708 463

HOSPITAL B

Reference -MD Boveal, B Wang[1]

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International Journal of Engineering Trends and Technology (IJETT) - Volume4Issue5- May 2013

VI. CONCLUSION On 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. TQM in practice: a Singapore health care centre study, international journal of applied strategic management: volume1 issue 1. Kevinpaulpudussery, a study on the medical waste management at the Norfolk and Norwich university hospital, September 2011. 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 22-24.2011. 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. 2534-2545, 18 September, 2010. Fabio NevesPuglieria, Aldo Omettoa, Paulo Augusto CauchickMiguelb, Eco-design methods for developing new products based on QFD: a literature analysisdoi: 10.4322/pmd.2011.003. IlkeBereketli, Mujd Erol Genevois, H. Ziya UlukanGreen Product Design for Mobile Phones, World Academy of Science, Engineering and Technology 58 2009.

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