Environmentalism in surgical practice

Weiss, Anna; Hollandsworth, Hannah M.; Alseidi, Adnan; Scovel, Lauren; French, Clare E; Derrick, Ellen L.; Klaristenfeld, Daniel D.

doi:10.1067/j.cpsurg.2016.02.001

Cited by 51 publications

(39 citation statements)

References 76 publications

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“…[25] An increasing number of studies are looking at environmental responsibility in hospital care by observing different areas, especially waste management [19,28,29] and sustainable activities in the operating theater. [20,23,30] In contrast, very few studies have looked at comprehensive environmental responsibility in hospital organizations [9] and have merely referred to structural skeletons that promote ecologically sustainable patient care. [9,16,17] Therefore this topic had been chosen as the main focus in this study, which aims to identify the key elements of environmental responsibility in hospital care and the stakeholders involved.…”

Section: Introductionmentioning

confidence: 99%

“…[18] In addition to the benefits presented in this paper, environmental responsibility has been proved to reduce expenses due to the reduced consumption of material and electricity. [20][21][22][23] Long-term strategic policies are required to promote environmental responsibility at an organizational level. [16,17] An environmental program is a strategic organizational policy paper, led by the hospital's senior management team, that defines the framework for systematically providing services without harming the environment.…”

Section: Introductionmentioning

confidence: 99%

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Environmental responsibility in hospital care: Findings from a qualitative study

Kallio

Pietilä

Johnson

et al. 2018

JHA

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Environmental responsibility in hospital care: Findings from a qualitative study

Kallio

Pietilä

Johnson

et al. 2018

JHA

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“…Os RSS perigosos vêm assumindo grande importância nos últimos anos, mais pelo risco envolvido no gerenciamento incorreto do que pelo volume gerado, estimado entre 1 e 3% do total de resíduos sólidos urbanos de um município 2,3 .…”

Section: Introductionunclassified

“…As equipes cirúrgicas devem incluir as questões ambientais nas decisões de gestão do CC de forma articulada com os serviços de apoio. Nesse sentido, é importante contar com um greenteam, ou time verde, que é um grupo multidisciplinar que se propõe a pensar em estratégiais institucionais para eliminar desperdícios, priorizar o uso racional de medicamentos e melhorar os métodos de custeio e os contratos de prestação de serviço no CC 3 .…”

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Resíduos de serviços de saúde: perfil e análise de custos em um centro cirúrgico

et al. 2020

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Objetivo: Determinar o perfil de geração e mensurar os custos dos materiais utilizados no gerenciamento de resíduos de serviços de saúde emum centro cirúrgico. Método: Trata-se de pesquisa exploratória, descritiva, com abordagem quantitativa, na modalidade estudo de caso. O local foi oCentro Cirúrgico do Hospital Universitário da Universidade de São Paulo. A amostra estratificada foi de 1.120 cirurgias, e os resíduos foram pesados por82 dias. Resultados: Os resíduos do Centro Cirúrgico representaram 6,38% do total hospitalar. O grupo mais representativo foi A-infectantes (50,62%).A média de geração foi de 3,72 kg por cirurgia. A sala de operação foi o local que mais gerou resíduos (55,93%), e as cirurgias buco-maxilares as que maisgeraram resíduos, em termos de massa. O custo de um quilo foi: Grupo A (R$ 1,10), Grupo B (R$ 5,70), Grupo D Reciclado (R$ 0,96), Grupo D NãoReciclado (R$ 1,01) e Grupo E (R$ 3,23). Conclusão: O custo total médio por cirurgia foi de R$ 8,641, e sua redução depende da negociação de comprados itens de consumo que tiveram maior representatividade nos custos.

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“…Even these targets may prove insufficient to prevent significant climate change (Steffen et al 2018), and the Intergovernmental Panel on Climate Change has subsequently recommended limiting global warming to 1.5 C to reduce challenging impacts on ecosystems, human health and wellbeing (Intergovernmental Panel on Climate Change 2018). The medical profession is facing policy and healthcare pressures which have forced engagement with environmental issues (McCoy & Hoskins 2014;Weiss et al 2016). Healthcare systems must develop strategies to mitigate (avoid the unmanageable) and adapt (manage the unavoidable) to environmental pressures.…”

Section: Introductionmentioning

confidence: 99%

Environmental sustainability in veterinary anaesthesia

Jones

West²

2019

Veterinary Anaesthesia and Analgesia

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Objective Attention is drawn to the potential of global warming to influence the health and wellbeing of the human race. There is increasing public and governmental pressure on healthcare organisations to mitigate and adapt to the climate changes that are occurring. The science of anaesthetic agents such as nitrous oxide and the halogenated anaesthetic agents such as greenhouse gases and ozone-depleting agents is discussed and quantified. Additional environmental impacts of healthcare systems are explored. The role of noninhalational anaesthetic pharmaceuticals is discussed, including the environmental life-cycle analyses of their manufacture, transport, disposal and use. The significant role of anaesthetists in recycling and waste management, resource use (particularly plastics, water and energy) and engagement in sustainability are discussed. Finally, future directions for sustainability in veterinary anaesthesia are proposed.Conclusions Veterinary anaesthetists have a considerable opportunity to drive sustainability within their organisations through modification of their practice, research and education. The principles of sustainability may help veterinary anaesthetists to mitigate and adapt to our environmental crisis. Due to their particular impact as greenhouse gases, anaesthetic agents should be used conservatively with the lowest safe fresh gas flow possible. Technologies for reprocessing anaesthetic agents are described.

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Environmentalism in surgical practice

Cited by 51 publications

References 76 publications

Environmental responsibility in hospital care: Findings from a qualitative study

Environmental responsibility in hospital care: Findings from a qualitative study

Resíduos de serviços de saúde: perfil e análise de custos em um centro cirúrgico

Environmental sustainability in veterinary anaesthesia

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