Implementing Sustainable Practices in the Cardiac Catheterization Laboratory: Results from a Year-Long Waste

Kuan-Jen Chen1, Lung-Ching Chen1,2, Jer-Young Liou1

  • 1Division of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.

PubMed

Insights

A quality improvement initiative significantly reduced waste in cardiac catheterization laboratories (CCLs). This program cut infectious and general waste, boosted paper recycling, and lowered the carbon footprint, offering a sustainable model for healthcare facilities.

Area of Science:

  • Healthcare Sustainability
  • Environmental Science
  • Waste Management

Background:

  • Cardiac catheterization laboratories (CCLs) are significant contributors to hospital waste and environmental impact.
  • Comprehensive waste reduction strategies specifically for CCLs are currently limited.
  • Growing emphasis on sustainability in healthcare necessitates targeted interventions.

Purpose of the Study:

  • To evaluate the effectiveness of a quality improvement initiative aimed at reducing waste output in a high-volume CCL.
  • To assess the impact of the initiative on enhancing recycling practices within the CCL.
  • To quantify waste reduction and carbon footprint changes over a one-year period.

Main Methods:

  • A one-year study was conducted in a single-center CCL performing approximately 2,800 procedures annually.
  • Interventions included staff education, waste tracking, improved waste segregation, and the formation of a dedicated sustainability team.
  • Waste outputs were measured at baseline and at one month, three months, and one year post-intervention, with carbon footprint calculations.

Main Results:

  • Infectious waste decreased by 35.4% (2.38 to 1.54 kg/procedure) and general waste by 26.4% (0.83 to 0.61 kg/procedure).
  • Recyclable paper increased by 55.5% (0.30 to 0.47 kg/procedure).
  • An estimated annual carbon footprint reduction of 1,084.2 kg carbon dioxide equivalent was achieved.

Conclusions:

  • Sustainability initiatives are effective in significantly reducing waste and carbon emissions in CCLs.
  • The study demonstrates a practical framework for implementing environmental sustainability in high-volume CCLs.
  • Promoting recycling alongside waste reduction is crucial for improving environmental performance in cardiac catheterization settings.
Abstract

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