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Hospital waste and the like are those products generated from health activities, with the characteristic of being potentially contaminating as they have been used in clinical treatments, making them risky for both healthcare, administrative and general services staff as well as patients and visitors; hence the need to carry out a literary review in the Scopus, ScienceDirect and Embase databases of the scientific production (articles) associated with this topic during the period between 2015 - 2020; taking into account indicators such as the total number of articles published per year, number of citations received, main journals, average number of citations per year, name, country and institutional affiliation of the most cited authors; The foregoing will be useful for the academic community when conducting an exhaustive review of the subject that will allow evidence of its evolution and management over time. This qualitative systematic review has as its unit of analysis the publications (articles) identified with the descriptors Medical AND Waste; Health AND Care AND Waste; AND Waste Hospital. In addition, the Excel tool was used for data processing. The analysis of the literary review carried out concludes the important role of health institutions, hospitals, clinics, laboratories and the like in the management of their hospital waste, as well as the relevance of continuous training in these organizations for all collaborators in order to create social and environmental awareness. This study aims to contribute to the field of environmental management from the Health Administration of the University of Córdoba, and serve as a consultation for students and teachers and in the same way promote research.

This internship report was developed at the Central Clinic of the municipality of Monteria. The objective was to establish the elements of safety and protection in the imaging unit for patients and workers of the Central clinic. The methodology that was applied to said project was divided into four phases; the first was a diagnostic analysis, in phase 2 the information obtained in a 5W1H technique was systematized, in phase 3 the analysis of the documents that make up the radiological risk management manual was carried out in accordance with current regulations and they were socialized risks with internal and external stakeholders. In phase 4, an evaluation of the documents was made and a structure of the recommendations made was generated. From the results it was observed that the current regulations were not complied with and there was no relationship between what was planned and what was executed. Due to this, the risk manual was updated in its entirety and was entitled radiology protection manual. Divided into two parts: radiological surveillance and radiological protection. In conclusion, the risk manuals of the aforementioned clinic should be kept updated to improve the quality of the service offered.