Interdisciplinary analysis of hazardous hospital waste management in tertiary hospitals in Medellin

Gladis Cecilia Villegas-Arias, Mariluz Betancur-Vélez, Ruth Marina Agudelo-Cadavid, Alejandra Hoyos-López

Research output: Contribution to journalArticle in an indexed scientific journalpeer-review

2 Scopus citations


Medellín is a region where opportunities have been identified to improve the system for managing hazardous hospital waste (HHW). This study combines research methods of administration, environmental engineering, and public health, to assess the quality of these systems in eight out of 12 tertiary hospitals of the study region. These hospitals were used to model the process and propose an administrative tool to intervene its quality. Thereby, we applied a process checklist to audit compliance with current legislation, we conducted participant observation to understand the steps and relationships of the process, and we interviewed critical actors and analysed administrative practices to understand decision making and stakeholder involvement. Results included a digital model and the identification of four key factors such as: infrastructure, logistics management, administration, and managerial control. The hospitals certified the utility of these results to diagnose points of intervention, and to assess performance comparatively, which enhances opportunities for benchmarking.

Original languageEnglish
Pages (from-to)362-388
Number of pages27
JournalInternational Journal of Environment and Waste Management
Issue number3
StatePublished - 1 Sep 2020

Bibliographical note

Publisher Copyright:
Copyright © 2020 Inderscience Enterprises Ltd.


  • Biomedical waste
  • Environmental waste management
  • Hazardous hospital waste
  • HHW
  • Hospital infrastructure
  • Hospital waste administration
  • Hospital waste control
  • Hospital waste logistics
  • Hospital waste management
  • Hospital waste model
  • Interdisciplinary analysis
  • Tertiary hospitals

Types Minciencias

  • Artículos de investigación con calidad Q4


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