How Can Non-Hospital Surgical Centres Improve Their Environmental Footprint (and Reduce Costs)?

IF 0.7 4区 医学 Q4 SURGERY Plastic surgery Pub Date : 2025-01-03 DOI:10.1177/22925503241305635
Barinder Bajwa, Zach Zhang, Young Ji Tuen, Rebecca Courtemanche, Jugpal S Arneja
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Abstract

Introduction: Every industry has greenhouse gas emissions, with healthcare a significant contributor. In Canada, the healthcare sector is directly and indirectly responsible for 4.6% of the country's greenhouse gas emissions. Operating rooms (ORs) are major contributors to hospital waste, making the OR low hanging fruit for analyzing environmental practices. The OR can adopt a green mindset to reduce its carbon footprint, yet barriers to going green exist. Herein we study non-hospital surgical centres in British Columbia to assess current green practices, attitudes towards environmental sustainability, and barriers to implementation.

Methods: All accredited non-hospital surgical centres in BC were invited to complete a survey on current practices and plans to reduce their environmental impact.

Results: Of 56 non-hospital surgical centres contacted, 18 responded, with 89% willing to adapt their practice to promote environmental sustainability, yet lacked current knowledge (56%) and formal plans (0%). The wide use of anesthetic gases with high global warming potential (64%) and disposable drapes/ gowns (78%/ 67%) were noted. Barriers to adopting green practices included: cost (44%), infrastructure (44%), regulatory guidelines (39%), knowledge (39%), and safety (28%).

Conclusions: Transitioning to more environmentally sustainable practices in ORs can enhance healthcare value by reducing both costs and greenhouse gas emissions. The greatest effect can be achieved through prudent choice of anesthetic gas agent, followed by reusable linens and drapes. Education and regulatory leadership were identified as crucial for overcoming these barriers. This study underscores the need for education, guidelines, and economically viable options to transition from awareness to action.

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非医院外科中心如何改善其环境足迹(并降低成本)?
导言:每个行业都有温室气体排放,医疗保健是一个重要的贡献者。在加拿大,医疗保健部门直接和间接地为该国4.6%的温室气体排放负责。手术室(OR)是医院浪费的主要来源,这使得手术室成为分析环境实践的容易实现的目标。手术室可以采用绿色思维来减少碳足迹,但走向绿色的障碍依然存在。本文研究了不列颠哥伦比亚省的非医院外科中心,以评估当前的绿色实践、对环境可持续性的态度以及实施的障碍。方法:邀请BC省所有认可的非医院外科中心完成一项关于减少其环境影响的现行做法和计划的调查。结果:在我们联系的56家非医院外科中心中,有18家做出了回应,其中89%的中心愿意调整其实践以促进环境可持续性,但缺乏当前的知识(56%)和正式计划(0%)。注意到广泛使用具有高全球变暖潜势的麻醉气体(64%)和一次性窗帘/长袍(78%/ 67%)。采用绿色实践的障碍包括:成本(44%)、基础设施(44%)、监管指南(39%)、知识(39%)和安全(28%)。结论:通过降低成本和温室气体排放,向更具环境可持续性的手术室实践过渡可以提高医疗保健价值。通过谨慎选择麻醉气体剂,其次是可重复使用的亚麻布和窗帘,可以达到最大的效果。教育和监管领导被认为是克服这些障碍的关键。这项研究强调需要教育、指导方针和经济上可行的选择,将意识转变为行动。
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来源期刊
Plastic surgery
Plastic surgery Medicine-Surgery
CiteScore
1.70
自引率
0.00%
发文量
73
期刊介绍: Plastic Surgery (Chirurgie Plastique) is the official journal of the Canadian Society of Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery, Group for the Advancement of Microsurgery, and the Canadian Society for Surgery of the Hand. It serves as a major venue for Canadian research, society guidelines, and continuing medical education.
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