{"id":"https://openalex.org/W7225796059","doi":"https://doi.org/10.1097/qmh.0000000000000598","title":"Waste Segregation Education Among Intraoperative Personnel: A Quality Improvement Project","display_name":"Waste Segregation Education Among Intraoperative Personnel: A Quality Improvement Project","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225796059","doi":"https://doi.org/10.1097/qmh.0000000000000598","pmid":"https://pubmed.ncbi.nlm.nih.gov/43012365"},"language":"en","primary_location":{"id":"doi:10.1097/qmh.0000000000000598","doi":"https://doi.org/10.1097/qmh.0000000000000598","is_oa":false,"landing_page_url":"https://doi.org/10.1097/qmh.0000000000000598","pdf_url":null,"source":{"id":"https://openalex.org/S2754346939","display_name":"Quality Management in Health Care","issn_l":"1063-8628","issn":["1063-8628","1550-5154"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality Management in Health Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5123973074","display_name":"Virginia C. Simmons","orcid":"https://orcid.org/0000-0001-5043-1050","observed_orcids":["https://orcid.org/0000-0001-5043-1050"]},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]},{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I4210136666","display_name":"FirstHealth of the Carolinas","ror":"https://ror.org/03qc4hj53","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210136666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Virginia C. Simmons","raw_affiliation_strings":["Author Affiliations:Duke University School of Nursing, Durham, North Carolina (Dr Simmons, Dr Sabol); Nationwide Children\u2019s Hospital, Columbus, Ohio (Dr Kasberg); and FirstHealth of the Carolinas, Pinehurst, North Carolina (Dr Trethewey)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Author Affiliations:Duke University School of Nursing, Durham, North Carolina (Dr Simmons, Dr Sabol); Nationwide Children\u2019s Hospital, Columbus, Ohio (Dr Kasberg); and FirstHealth of the Carolinas, Pinehurst, North Carolina (Dr Trethewey)","institution_ids":["https://openalex.org/I1314135232","https://openalex.org/I170897317","https://openalex.org/I4210136666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161426348","display_name":"Devon Kasberg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]},{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I4210136666","display_name":"FirstHealth of the Carolinas","ror":"https://ror.org/03qc4hj53","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210136666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Devon Kasberg","raw_affiliation_strings":["Author Affiliations:Duke University School of Nursing, Durham, North Carolina (Dr Simmons, Dr Sabol); Nationwide Children\u2019s Hospital, Columbus, Ohio (Dr Kasberg); and FirstHealth of the Carolinas, Pinehurst, North Carolina (Dr Trethewey)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Author Affiliations:Duke University School of Nursing, Durham, North Carolina (Dr Simmons, Dr Sabol); Nationwide Children\u2019s Hospital, Columbus, Ohio (Dr Kasberg); and FirstHealth of the Carolinas, Pinehurst, North Carolina (Dr Trethewey)","institution_ids":["https://openalex.org/I1314135232","https://openalex.org/I170897317","https://openalex.org/I4210136666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049573068","display_name":"Brittany N Trethewey","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]},{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I4210136666","display_name":"FirstHealth of the Carolinas","ror":"https://ror.org/03qc4hj53","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210136666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brittany Trethewey","raw_affiliation_strings":["Author Affiliations:Duke University School of Nursing, Durham, North Carolina (Dr Simmons, Dr Sabol); Nationwide Children\u2019s Hospital, Columbus, Ohio (Dr Kasberg); and FirstHealth of the Carolinas, Pinehurst, North Carolina (Dr Trethewey)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Author Affiliations:Duke University School of Nursing, Durham, North Carolina (Dr Simmons, Dr Sabol); Nationwide Children\u2019s Hospital, Columbus, Ohio (Dr Kasberg); and FirstHealth of the Carolinas, Pinehurst, North Carolina (Dr Trethewey)","institution_ids":["https://openalex.org/I1314135232","https://openalex.org/I170897317","https://openalex.org/I4210136666"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5022511057","display_name":"Valerie K. Sabol","orcid":"https://orcid.org/0000-0002-2551-5137","observed_orcids":["https://orcid.org/0000-0002-2551-5137"]},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]},{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I4210136666","display_name":"FirstHealth of the Carolinas","ror":"https://ror.org/03qc4hj53","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210136666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Valerie K. Sabol","raw_affiliation_strings":["Author Affiliations:Duke University School of Nursing, Durham, North Carolina (Dr Simmons, Dr Sabol); Nationwide Children\u2019s Hospital, Columbus, Ohio (Dr Kasberg); and FirstHealth of the Carolinas, Pinehurst, North Carolina (Dr Trethewey)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Author Affiliations:Duke University School of Nursing, Durham, North Carolina (Dr Simmons, Dr Sabol); Nationwide Children\u2019s Hospital, Columbus, Ohio (Dr Kasberg); and FirstHealth of the Carolinas, Pinehurst, North Carolina (Dr Trethewey)","institution_ids":["https://openalex.org/I1314135232","https://openalex.org/I170897317","https://openalex.org/I4210136666"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12920","display_name":"Healthcare and Environmental Waste Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12920","display_name":"Healthcare and Environmental Waste Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12744","display_name":"Medical Device Sterilization and Disinfection","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C2992940845","wikidata":"https://www.wikidata.org/wiki/Q4915134","display_name":"Medical waste","level":2,"score":0.6883999705314636},{"id":"https://openalex.org/C2778960967","wikidata":"https://www.wikidata.org/wiki/Q4915134","display_name":"Biomedical waste","level":3,"score":0.5737000107765198},{"id":"https://openalex.org/C548081761","wikidata":"https://www.wikidata.org/wiki/Q180388","display_name":"Waste management","level":1,"score":0.4787999987602234},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4740999937057495},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4708999991416931},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.46219998598098755},{"id":"https://openalex.org/C22507642","wikidata":"https://www.wikidata.org/wiki/Q1069369","display_name":"Hazardous waste","level":2,"score":0.4392000138759613},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.43720000982284546},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4237000048160553},{"id":"https://openalex.org/C156273044","wikidata":"https://www.wikidata.org/wiki/Q4913766","display_name":"Bin","level":2,"score":0.4097999930381775},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.4066999852657318},{"id":"https://openalex.org/C2993109238","wikidata":"https://www.wikidata.org/wiki/Q7202090","display_name":"Plastic waste","level":2,"score":0.397599995136261},{"id":"https://openalex.org/C2992204770","wikidata":"https://www.wikidata.org/wiki/Q4915134","display_name":"Hospital waste","level":2,"score":0.3587999939918518},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3515999913215637},{"id":"https://openalex.org/C3020383963","wikidata":"https://www.wikidata.org/wiki/Q180388","display_name":"Waste disposal","level":2,"score":0.34380000829696655},{"id":"https://openalex.org/C2777929519","wikidata":"https://www.wikidata.org/wiki/Q7144988","display_name":"Patient education","level":2,"score":0.33809998631477356},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.32519999146461487},{"id":"https://openalex.org/C2781460075","wikidata":"https://www.wikidata.org/wiki/Q1399332","display_name":"Compliance (psychology)","level":2,"score":0.32170000672340393},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.3206999897956848},{"id":"https://openalex.org/C75779659","wikidata":"https://www.wikidata.org/wiki/Q18538","display_name":"Municipal solid waste","level":2,"score":0.30469998717308044},{"id":"https://openalex.org/C65545243","wikidata":"https://www.wikidata.org/wiki/Q1056304","display_name":"Waste treatment","level":2,"score":0.3034000098705292},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3019999861717224},{"id":"https://openalex.org/C521786372","wikidata":"https://www.wikidata.org/wiki/Q1324934","display_name":"Waste collection","level":3,"score":0.3003999888896942},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.28220000863075256},{"id":"https://openalex.org/C39432304","wikidata":"https://www.wikidata.org/wiki/Q188847","display_name":"Environmental science","level":0,"score":0.27309998869895935},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.2669000029563904},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.25699999928474426},{"id":"https://openalex.org/C147583825","wikidata":"https://www.wikidata.org/wiki/Q620876","display_name":"Body weight","level":2,"score":0.25679999589920044}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1097/qmh.0000000000000598","doi":"https://doi.org/10.1097/qmh.0000000000000598","is_oa":false,"landing_page_url":"https://doi.org/10.1097/qmh.0000000000000598","pdf_url":null,"source":{"id":"https://openalex.org/S2754346939","display_name":"Quality Management in Health Care","issn_l":"1063-8628","issn":["1063-8628","1550-5154"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality Management in Health Care","raw_type":"journal-article"},{"id":"pmid:43012365","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43012365","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality management in health care","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W2329859112","https://openalex.org/W2563306991","https://openalex.org/W3083403405","https://openalex.org/W3113201814","https://openalex.org/W3123380527","https://openalex.org/W3135115448","https://openalex.org/W3178381409","https://openalex.org/W3208156143","https://openalex.org/W4210265504","https://openalex.org/W4210968737","https://openalex.org/W4293677437","https://openalex.org/W4304117737","https://openalex.org/W4380077494","https://openalex.org/W4384432239","https://openalex.org/W4386197658","https://openalex.org/W4387965851","https://openalex.org/W4388231278","https://openalex.org/W4388851135","https://openalex.org/W4411214330"],"related_works":[],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1],"OBJECTIVES:":[2],"Medical":[3],"waste":[4,28,48,77,89,123,145,237,248],"significantly":[5,98,177,195],"impacts":[6],"public":[7],"health,":[8],"environmental":[9],"sustainability,":[10],"and":[11,38,82,92,103,136,190],"healthcare":[12,252],"costs,":[13],"with":[14,121,131,155,203,221],"American":[15],"hospitals":[16],"producing":[17],"over":[18],"4":[19],"billion":[20],"tons":[21],"annually.":[22],"The":[23,140,187,241],"primary":[24],"barrier":[25],"to":[26,46,72,101,151,167,181,212],"effective":[27],"segregation":[29,49,78,238],"is":[30,239,254],"a":[31,52,69,116,204,222],"lack":[32],"of":[33,142,192,206,224,243],"provider":[34],"knowledge.":[35],"Using":[36],"education":[37,235],"visual":[39],"aids,":[40],"this":[41,66],"quality":[42],"improvement":[43],"project":[44,67],"aimed":[45],"enhance":[47],"practices":[50,250],"at":[51,106],"402-bed":[53],"community":[54],"hospital":[55],"in":[56,75,245,251],"the":[57,107,156],"Southeastern":[58],"United":[59],"States.":[60],"METHODS:":[61],"Among":[62],"operating":[63],"room":[64],"personnel,":[65],"used":[68],"pre-/postintervention":[70],"design":[71],"evaluate":[73],"change":[74],"self-reported":[76],"knowledge,":[79],"attitude,":[80],"practice,":[81],"confidence,":[83],"as":[84,86],"well":[85],"intraoperative":[87],"sharps":[88,143],"bin":[90,144,158],"weight":[91,141,159,191,205,223],"compliance.":[93],"RESULTS:":[94],"Participant":[95],"knowledge":[96],"improved":[97],"from":[99,147,161,178,197],"pre-":[100,135,148],"post-education":[102,109,138,152],"was":[104],"sustained":[105],"3-month":[108,137],"measurement":[110],"(P":[111,184,217,230],"<":[112],".001).":[113],"Participants":[114],"indicated":[115],"positive":[117],"attitude":[118],"toward":[119],"compliance":[120,175],"medical":[122],"segregation.":[124],"Mean":[125],"confidence":[126],"scores":[127],"increased":[128,176],"across":[129],"groups,":[130],"significant":[132],"difference":[133],"between":[134],"scores.":[139],"decreased":[146,196],"(612.7":[149],"kg)":[150],"(527.6":[153],"kg),":[154],"average":[157],"decreasing":[160],"7.32":[162],"kg":[163,169,208,226],"(SD":[164,170,199,209,214,227],"=":[165,171,185,200,210,215,218,228,231],"3.77)":[166],"6.85":[168],"2.97).":[172],"Item":[173],"disposal":[174],"pre":[179],"(50.5%)":[180],"post":[182],"(60.2%)":[183],".023).":[186],"mean":[188],"number":[189],"non-compliant":[193],"items":[194,202,220],"262.2":[198],"143.4)":[201],"4.9":[207],"3.4)":[211],"162.5":[213],"82.5)":[216],".021)":[219],"2.6":[225],"1.4)":[229],".028).":[232],"CONCLUSION:":[233],"Continuous":[234],"regarding":[236],"needed.":[240],"importance":[242],"leadership":[244],"promoting":[246],"sustainable":[247],"management":[249],"facilities":[253],"undeniable.":[255]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}