Approach for the Assessment and Ranking of Hospitals Based on Waste Management Practices Using RIAM, Sustainability, and EPI Techniques
Publication: Journal of Hazardous, Toxic, and Radioactive Waste
Volume 25, Issue 2
Abstract
An environmental impact assessment (EIA) tool is used to assess any proposed development activity. It is beneficial for a detailed study of large projects, but less feasible for quick assessments of a smaller project. The rapid impact assessment matrix (RIAM) serves the purpose of quick quantitative assessments of any project. In this study, the RIAM technique used to assess waste management practices of various hospitals in the city of Prayagraj, India. Based on RIAM scores, the level and nature of the sustainability of waste management practices in hospitals are checked by the model of sustainability. In addition, the environmental performance index (EPI) is applied with RIAM scores for comparative study. Hospital “A” was ranked as the most promising sustainability option, with sustainability value (S-value) of 0.2815 and EPI of 211.921, indicating good sustainability. Strict abidance to rules and regulations and regular monitoring is needed to substantially improve waste management in hospitals.
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Data Availability Statement
All data generated during the study appear in the published article.
References
Abdulla, F., H. A. Qdais, and A. Rabi. 2008. “Site investigation on medical waste management practices in Northern Jordan.” Waste Manage. (Oxford) 28 (2): 450–458. https://doi.org/10.1016/j.wasman.2007.02.035.
Aljabre, S. H. M. 2002. “Hospital generated waste: A plan for its proper management.” J. Family Community Med. 9 (2): 61–65.
Ananth, A., R. Ramesh, and B. Prabaharan. 2010. “A service gap analysis in private sector banks—An empirical study of customers” expectations vs. perceptions.” Sri Lankan J. Manage. 15 (2–4): 44–53.
Bio-Medical Waste Management (Amendment) Rules. 2018. Published in the Gazette of India, Extraordinary, Part II, Section 3, Sub-Section (i), Government of India Ministry of Environment, Forest and Climate Change. Notification.
Cartalis, C., H. Feidas, M. Glezakou, M. Proedrou, and N. Chrysoulakis. 2000. “Use of earth observation in support of environmental impact assessments: Prospects and trends.” Environ. Sci. Policy 3 (5): 287–294. https://doi.org/10.1016/S1462-9011(00)00096-4.
Chitnis, V., K. Vaidya, and D. S. Chitnis. 2005. “Biomedical waste in laboratory medicine: Audit and management.” Indian J. Med. Microbiol. 23 (1): 6–13. https://doi.org/10.4103/0255-0857.13865.
El-Naqa, A. 2005. “Environmental impact assessment using rapid impact assessment matrix (RIAM) for Russeifa landfill, Jordan.” Environ. Geol. 47 (5): 632–639. https://doi.org/10.1007/s00254-004-1188-8.
Environment (Protection) Act. 1986. Ministry of environment & forests department of environment, forests & wildlife (2018). New Delhi, India: Government of India.
Glenn, M. R., and R. Garwal. 1999. Clinical waste in developing countries. An analysis with a case study of India, and a critique of the BasleTWG guidelines.
Haie, N. 2005. Subjective sustainability criteria applied to a renewable energy installation, 41–49. Guimaraes, Portugal: Civil Engineering Dept., Univ. of Minho.
Kumar, S., H. Dhar, V. V. Nair, Rena, J. Govani, S. Arya, J. K. Bhattacharya, A. N. Vaidya, and A. B. Akolkar. 2019. “Environmental quality monitoring and impact assessment of solid waste dumpsites in high altitude sub-tropical regions.” J. Environ. Manage. 252: 109681. https://doi.org/10.1016/j.jenvman.2019.109681.
Mohan, S., V. V. Nair, and C. P. Joseph. 2017. “Effective waste treatment and disposal by operating open dumpsites as bioreactors.” Int. J. Adv. Sci. Eng. Technol. 5 (3): 19–22.
Nichols, A., J. Grose, and R. Mukonoweshuro. 2016. “Achieving cost and carbon savings in neonatal practice: A review of the literature on sustainable waste management.” J. Neonatal Nurs. 22 (2): 81–87. https://doi.org/10.1016/j.jnn.2016.01.002.
Pastakia, C. M. R. 1998. “The rapid impact assessment matrix (RIAM)—A new tool for environmental impact assessment.” In Environmental impact assessment using the rapid impact assessment matrix (RIAM), edited by K. Jensen, 8–18. Fredensborg, Denmark: Olsen & Olsen.
Pastakia, C. M. R., and A. Jensen. 1998. “The rapid impact assessment matrix (RIAM) for EIA.” Environ. Impact Assess. Rev. 18 (5): 461–482. https://doi.org/10.1016/S0195-9255(98)00018-3.
Phillips, J. 2009. “The development and application of a geocybernetic model of sus-tainability.” Ph.D. thesis, Dept. of Geography (Streatham Campus) and Camborne School of Mines (Cornwall Campus), Univ. of Exeter.
Phillips, J. 2010. “The advancement of a mathematical model of sustainable development.” Sustainability Sci. 5 (1): 127–142. https://doi.org/10.1007/s11625-009-0103-3.
Rao, S. K. M., R. K. Ranyal, S. S. Bhatia, and V. R. Sharma. 2004. “Biomedical waste management: An infrastructural survey of hospitals.” Med. J. Armed Forces India 60 (4): 379–382. https://doi.org/10.1016/S0377-1237(04)80016-9.
Rawal, N. 2019. “An approach for selection of solid waste disposal sites by rapid impact assessment matrix and environmental performance index analysis.” Int. J. Environ. Pollut. 66 (1–3): 127–142. https://doi.org/10.1504/IJEP.2019.104521.
Rawal, N., C. Nidhi, and H. K. Pandey. 2019. “Rapid impact assessment matrix (RIAM)-based approach for selection of solid waste disposal site.” Natl. Acad. Sci. Lett. 42 (5): 395–400. https://doi.org/10.1007/s40009-018-0765-4.
Rawal, N., S. Rai, and S. K. Duggal. 2017. “An approach for the analysis of the effects of solid waste management in slum areas by rapid impact assessment matrix analysis.” Int. J. Environ. Technol. Manage. 20 (3–4): 225–239. https://doi.org/10.1504/IJETM.2017.089652.
Rawal, N., R. M. Singh, and R. Vaishya. 2012. “Optimal management methodology for solid wastes in urban areas.” J. Hazard. Toxic Radioact. Waste 16 (1): 26–38. https://doi.org/10.1061/(ASCE)HZ.2153-5515.0000104.
Saaty, T. L. 1980. The analytic hierarchy process. New York: McGraw-Hill.
Suthar, S., and A. Sajwan. 2014. “Rapid impact assessment matrix (RIAM) analysis as decision tool to select new site for municipal solid waste disposal: A case study of Dehradun city, India.” Sustainable Cities Soc. 13: 12–19. https://doi.org/10.1016/j.scs.2014.03.007.
Voudrias, E. A. 2018. “Healthcare waste management from the point of view of circular economy.” Waste Manage. (Oxford) 75: 1–2. https://doi.org/10.1016/j.wasman.2018.04.020.
WHO (World Health Organization). 2011. Waste from healthcare activities. Geneva: WHO.
WHO (World Health Organization). 2014. Safe management of wastes from healthcare activities, 2nd ed. Geneva: WHO.
World Bank. 2016. “Health expenditure total (% of GDP)—2016.” Accessed April 24, 2017. http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS.
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© 2020 American Society of Civil Engineers.
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Received: May 19, 2020
Accepted: Sep 25, 2020
Published online: Nov 30, 2020
Published in print: Apr 1, 2021
Discussion open until: Apr 30, 2021
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