Surgical waste audit of 5 total knee arthroplasties

Stall, Nathan M.; Kagoma, Yoan K.; Bondy, Jennifer N.; Naudie, Douglas

doi:10.1503/cjs.015711

Cited by 86 publications

(111 citation statements)

References 12 publications

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“…A variety of original articles in the surgery, medicine, and anesthesiology literature have focused on different aspects of the environmental impact of health care, such as waste generation [9][10][11], reusable versus disposable items [12][13][14], and life-cycle analyses [12,13]. Interestingly, reports also indicate that environmentally conscious practices are cost-effective [8,[15][16][17].…”

Section: Environmental Impact Analysismentioning

confidence: 99%

Endobronchial Ultrasonography Versus Mediastinoscopy: A Single-Institution Cost Analysis and Waste Comparison

Andrade

Podgaetz

Rueth

et al. 2014

The Annals of Thoracic Surgery

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Section: Environmental Impact Analysismentioning

confidence: 99%

Endobronchial Ultrasonography Versus Mediastinoscopy: A Single-Institution Cost Analysis and Waste Comparison

Andrade

Podgaetz

Rueth

et al. 2014

The Annals of Thoracic Surgery

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“…Several studies have described the characteristics and quantities of waste generated by bed or by patient in hospitals (Debere et al, 2013;Lemos et al, 2010;Nagashima et al, 2007;Stall et al, 2013). The generation of RSS in kg user-day varies between developed and developing countries (Abd El-Salam, 2010;Bendjoudi et al, 2009;Cheng et al, 2009;Debere et al, 2013;Komilis et al, 2012;Patwary et al, 2009;Ruoyan et al, 2010;Sawalem et al, 2009) and across public and private hospitals (Tesfahun et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

The reality of waste management in primary health care units in Brazil

et al. 2014

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A large number of users are serviced in primary health care units in Brazil, both in health facilities and in households. These services generate waste that must be managed safely, but there is no legislation that regulates this type of waste management in Brazil. The objective of this study was to analyse the production and management of waste in primary health care. A direct observation was performed of the stages in the handling and weighing of waste generated in primary health care units in the municipality of Goiânia (Brazil). The units generated infectious, chemical, and common waste, as well as sharp objects. The generation of waste ranged between 0.027 and 0.075 kg user-day. The generated waste was classified mostly as common and recyclable. Flaws were observed in the management of all types of waste. The critical point is segregation. Only 34.1% of the waste disposed of as infectious actually belonged to this group, the rest was ordinary waste. Flaws at this stage increase the volume of infectious waste, the occupational and environmental risks, and associated costs. Intervention to change this reality is needed and it requires the careful preparation of a waste management plan, corroborating structural changes to the implementation of this plan, and professional training and public policies to guide waste management in primary care, especially those generated in households.

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“…Though the cost barriers to recycling infectious waste are difficult to surmount, there is also evidence that existing potential for recycling is being lost because material that is not actually "biohazard" waste is being unnecessarily included in the infectious waste stream (Byeong Kyu et al, 2002;Hutchins and White, 2009;Stall et al, 2013). Waste management experts state that infectious waste makes up typically no more than 10-25% of hospital waste, but in many hospitals a far greater percentage is treated as such (Cheng et al, 2009;White, 2009;Mühlich et al, 2003).…”

Section: Recyclingmentioning

confidence: 99%

Towards design strategies for circular medical products

Kane

Bakker

Balkenende

2018

Resources, Conservation and Recycling

130

103

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A B S T R A C TThe framework of design for the circular economy is increasingly used in industry to improve product sustainability and decrease costs, and in academia various models have been developed to guide circular design. However, in the medical sector, although it generates a large amount of waste, application of circular design principles is difficult because of the clinical challenges of safety and sterility that reuse of products or materials entail. This paper categorizes and analyses existing instances of circular economy in the medical sector, using a literature review and examination of existing industry examples. This is used to identify challenges and unmet opportunities for circular design in the medical sector. The key factors affecting circular medical design are found to be device criticality in terms of sterilization requirements, device value and the organizational support structure around the device. A design heuristic and suggested strategies for circular design of medical products are proposed based on these findings.

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Surgical waste audit of 5 total knee arthroplasties

Cited by 86 publications

References 12 publications

Endobronchial Ultrasonography Versus Mediastinoscopy: A Single-Institution Cost Analysis and Waste Comparison

Endobronchial Ultrasonography Versus Mediastinoscopy: A Single-Institution Cost Analysis and Waste Comparison

The reality of waste management in primary health care units in Brazil

Towards design strategies for circular medical products

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