Saving Dollars through Innovative Strategies in Biohazardous Waste Reduction

Abstract ISSUE: In August 2002, a multidisciplinary Biohazardous Waste Committee was organized to improve the handling of biohazardous waste. An initial biohazardous waste audit revealed that approximately 90% of waste was inappropriately characterized as biohazardous. Annual cost for disposal of over 722,000 pounds of biohazardous waste exceeded $160,000. PROJECT: The Biohazardous Waste Committee developed a campus-wide definition of biohazardous waste, introduced barcode labeling for waste tracking, and performed waste audits to monitor disposal practice. Committee representatives met with department managers to assess needs and optimize biohazardous waste disposal. Mandatory education regarding proper handling of biohazardous waste was performed throughout the facility. Customized improvements based on waste type, volume, and source (clinical versus research area) were implemented in October 2003. RESULTS: The December 2003 audit revealed biohazardous waste reduction in all areas, with significant unit-to-unit variability. Overall, a 25% reduction in the institutional rate of biohazardous waste per census days was realized. LESSONS LEARNED: Since staff, clinical practice, and the healthcare environment varies, periodic waste audits, data feedback, and ongoing education will be required to maintain biohazardous waste reduction. Significant additional revenue savings are anticipated.