减少对环境的影响在中西部学术医疗中心:使碳减排成为现实

Challenges Pub Date : 2023-10-22 DOI:10.3390/challe14040042
Johannah Bjorgaard, Teddie Potter
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引用次数: 0

摘要

(1)背景:人类产生的温室气体(GHG)排放是全球气候变化的最大贡献者。气候变化对人类和地球健康产生负面影响,威胁到地球上生命的存在。在美国,医疗保健行业的碳排放量约占8.5%。测量基线温室气体排放量是减排的第一步。然而,很少有针对卫生保健组织的测量模型。该项目旨在制定和实施一项计划,以测量和跟踪中西部学术医疗中心(MAMC)的温室气体排放,并教育工作人员如何管理这一过程。(2)方法:采用计划-实施-研究-行动(PDSA)循环和质量改进方法,制定、实施和评估标准化的温室气体排放清单流程,以测量范围1和范围2的基线排放,并对负责的工作人员进行虚拟培训和教育。采用调查前后设计来衡量工作人员在实施温室气体清单培训后的知识和准备情况。(3)结果:通过外部验证过程验证了温室气体清单过程,完成了范围1和范围2基线温室气体排放的测量,并通过数据对比审查验证了其准确性。培训前和培训后的调查显示,工作人员在保持温室气体清单方面的知识和准备有所增加。(4)结论:本工作显示了在大型医疗中心获取基线温室气体排放数据的可行性。它代表了在该卫生系统内制定全站点和全系统碳减排战略和气候行动计划的总体目标的初始阶段。
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Reducing Environmental Impacts at a Midwestern Academic Medical Center: Making Carbon Emissions Reduction a Reality
(1) Background: Human-generated greenhouse gas (GHG) emissions are the largest contributor to climate change worldwide. Climate change negatively impacts human and planetary health, threatening the existence of life on earth. The healthcare industry is responsible for approximately 8.5% of carbon emissions in the United States. Measuring baseline GHG emissions is the first step in emissions reduction. However, very few models of measurement exist for health care organizations. This project aimed to develop and implement a program to measure and track GHG emissions at a midwestern academic medical center (MAMC) and to educate staff on how to manage the process. (2) Methods: A Plan, Do, Study, Act (PDSA) cycle and Quality Improvement methodology were used to develop, implement, and assess a standardized GHG emission inventory process to measure Scope 1 and Scope 2 baseline emissions and provide virtual training and education to the accountable staff. A pre- and post-survey design was used to measure the knowledge and readiness of the staff after the implementation of the GHG inventory training. (3) Results: The GHG inventory process was validated through an external verification process, and the measurement of Scope 1 and Scope 2 baseline GHG emissions was completed and verified for accuracy through a data comparison review. The pre-post-training survey showed an increase in the knowledge and readiness of staff to maintain a GHG inventory. (4) Conclusions: This work shows the feasibility of obtaining baseline GHG emissions data at large medical centers. It represents the initial phase of the overarching goal to develop site-wide and system-wide carbon reduction strategies and a climate action plan within this health system.
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