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Updated: May 9, 2025

Safety Precautions and Operating Procedures in an ABSL-4 Laboratory: 2. General Practices
Published on: October 3, 2016
Green laboratory practice: Top 2 environmental recommendations for clinical laboratories.
Saranya Arnoldo1, Dana Bailey2, Felix Leung3
1Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada; Department of Laboratory Medicine, Unity Health Toronto, Toronto, ON, Canada.
Choosing Wisely Canada promotes diagnostic stewardship to reduce unnecessary lab tests. This minimizes clinical waste and environmental impact by optimizing lab workflows and fostering collaboration.
Area of Science:
- Laboratory Medicine
- Environmental Sustainability in Healthcare
- Diagnostic Stewardship
Background:
- Choosing Wisely Canada advocates for appropriate test ordering.
- Laboratories are key to healthcare efficiency and sustainability.
- Overuse of diagnostic tests has clinical, financial, and environmental costs.
Purpose of the Study:
- To advocate for Choosing Wisely laboratory initiatives.
- To highlight the environmental impacts of unnecessary diagnostic testing.
- To propose strategies for waste reduction in laboratory workflows.
Main Methods:
- Collaborating with healthcare providers to educate the public on test-related waste.
- Partnering with in vitro diagnostic device manufacturers for eco-friendly solutions.
- Adopting a holistic, "environmental lens" approach to the total testing workflow.
Main Results:
- Unnecessary testing contributes to significant carbon footprint and waste.
- Minimizing single-use consumables, toxic chemicals, and energy consumption is crucial.
- Optimizing testing workflows reduces waste and improves cost-effectiveness.
Conclusions:
- Laboratories can lead in improving patient care and environmental sustainability.
- Aligning with Choosing Wisely initiatives promotes greener healthcare practices.
- Reducing unnecessary diagnostic testing benefits both patients and the environment.
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