Evaluating quantifiable metrics for hospital green checklists

Unger, Scott; Campion, Nicole; Bilec, Melissa M.; Landis, Amy E.

doi:10.1016/j.jclepro.2016.03.167

Cited by 31 publications

(25 citation statements)

References 18 publications

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“…In addition, extant research suggests there is a growing need for hospitals and others involved in the medical supplies value chain to take the first steps towards environmental sustainability. In particular, there are calls for more ecologically sustainable operations (Brown, Buettner, Canyon, Crawford, & Judd, 2012;S. R. Unger, Campion, Bilec, & Landis, 2016), service provision, design and procurement (Campion et al, 2015;Moultrie, Sutcliffe, & Maier, 2015;Stripple, Westman, & Holm, 2008;Xin, 2015).…”

Section: The Case and Scenarios Consideredmentioning

confidence: 99%

How supply chain choices affect the life cycle impacts of medical products

Gabriel

Bortsie-Aryee

Apparicio-Farrell

et al. 2018

Journal of Cleaner Production

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The natural resource based view (NRBV) of organisations suggests that there are two main models used by businesses to achieve short-term sustainability outcomes. They are the product stewardship and pollution prevention models. Here is the case of a New York-based wholesaler of medical supplies. The business aims to develop a more environmentally sustainable supply chain for one of its products -an emesis basin. The emesis basin is currently only offered in high-density polyethylene (HDPE) plastic, which has negative effects on the natural environment. This study aimed to assess how the focus of the business' new business model might affect the overall life cycle impacts of this product. To achieve this, we compared the environmental impacts of the conventional product (Scenario 1-an HDPE basin) with equivalent products supplied via pollution prevention (Scenario 2 -a bioplastic basin) and product stewardship (Scenario 3 -green supply chain management and improvements) scenarios, as well as a combination scenario (Scenario 4). The results show that, in line with expectations, the pollution prevention option -switching to a bioplastic product -has the lowest environmental impacts. Unexpectedly though, the product stewardship option had a greater impact on the natural environment than the conventional HDPE, business-as-usual option. We suggest there may greater environmental gains to be obtained by focusing on one's core business, than by extending influence to the entire supply chain. KEYWORDSNatural resource-based view (NRBV); Life Cycle Assessment (LCA); sustainable supply chains; medical supply sector HIGHLIGHTS  Four scenarios comparing conventional and bio-plastics considered  Bioplastic product has lowest environmental impact (pollution prevention scenario)  Supply chain changes (product stewardship) have higher impact due to transport fuels  There are benefits to focusing on core business over supply chain integration  We support deeper inclusion of medical supply industry in sustainability discussion Word Count: 8,082ACCEPTED MANUSCRIPT 2

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Section: The Case and Scenarios Consideredmentioning

confidence: 99%

How supply chain choices affect the life cycle impacts of medical products

Gabriel

Bortsie-Aryee

Apparicio-Farrell

et al. 2018

Journal of Cleaner Production

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“…When making decisions to purchase reusable or disposable materials, perioperative leaders should consider such factors as cost, clinical usability, contractual agreements, and environmental sustainability . Perioperative nurses should work with facility leaders to address “perioperative practices that negatively affect the environment.” To realize quantifiable environmental improvements, nurses and other health care professionals require data to support their decisions . Researchers use life cycle assessments (LCAs) to quantify and standardize the effects of products on the environment.…”

mentioning

confidence: 99%

“…4 To realize quantifiable environmental improvements, nurses and other health care professionals require data to support their decisions. 3 Researchers use life cycle assessments (LCAs) to quantify and standardize the effects of products on the environment.…”

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confidence: 99%

An Environmental Analysis of Reusable and Disposable Surgical Gowns

Vozzola¹,

Overcash²,

Griffing³

2020

AORN Journal

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Surgical gowns help protect patients from exposure to microorganisms and serve as personal protective equipment for perioperative staff members. Medical textiles, including surgical gowns, are available as reusable and disposable products. Health care facility administrators and leaders who endeavor to use environmentally sustainable practices require current data for decision making. This study analyzed all activities from the extraction of fossil materials from the earth to the end‐of‐life disposal of reusable and disposable surgical gowns. The researchers included calculations for laundry and wastewater treatment operations and compared the environmental effects of the two surgical gown systems. The study results showed that selection of reusable gowns rather than disposable gowns reduced natural resource energy consumption (64%), greenhouse gas emissions (66%), blue water consumption (83%), and solid waste generation (84%). Perioperative nurses can use this information to assist facility leaders as they make informed decisions related to gown system selection.

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“…However, transport distances and electricity cleanliness were important factors that need to be considered (Grimmond & Reiner, 2012). Unger et al (2016) reviewed several research applied LCA in hospital. It focused on the use of reusable medical products, comparable disposable medical products, and a series of medical services.…”

Section: Uses In Health Service Industrymentioning

confidence: 99%

When Lca Applies to Health Service Industry

Djati¹,

Cahayanti²,

Chairani³

et al. 2018

JESSD

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The health service industry involves activities that provide medical services (hospital), manufacture of medical equipment or drugs, and medical insurance services. Options of research methods to measure the impact of services on environmental aspects are available. One among which is life cycle analysis (LCA), the recently popular practice in Indonesia. This paper attempts to explore whether LCA could be fitted to the health service industry. A literature review would help in procuring related references from various publications accompanied by several research results and related studies. For describing the application of LCA in hospitals, several articles were collected, which were later arranged according to certain systematics from several sources. The LCA methodology used here consists of the following four stages: goal and scope definition, life cycle inventory analysis, impact assessment, and interpretation. The stages follow the International Organization for Standardization (ISO) 14040 and UNEP SETAC, 2011. Several studies using the LCA method in hospitals have reported specific profiles such as the management of biohazardous medical waste (BMW) and waste water. Several studies have also used LCA methods to assess specifically the environmental and health impacts of a specific component of the hospital or hospital activities. For example, studies have assessed the impact of equipment used in the form of containers, catheter, laryngeal mask, gowns and also infrastructures' facilities. The results of this study confirmed that the LCA method is suitable in health service industry, particularly in hospitals. Considering the merits and drawbacks involved in applying this method, one could further apply it to related health service issues.

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Evaluating quantifiable metrics for hospital green checklists

Cited by 31 publications

References 18 publications

How supply chain choices affect the life cycle impacts of medical products

How supply chain choices affect the life cycle impacts of medical products

An Environmental Analysis of Reusable and Disposable Surgical Gowns

When Lca Applies to Health Service Industry

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