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Reducing plastic in single-use central line insertion packs: A mixed methods observational study.

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This summary is machine-generated.

Reducing waste in central venous catheter (CVC) insertion packs can save money and lower carbon emissions. Clinicians identified non-essential items, suggesting a refined pack could significantly decrease environmental impact and costs.

Keywords:
Sustainable healthcareclimate changeintensive careplastic wastequality improvement

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Area of Science:

  • Healthcare waste management
  • Environmental sustainability in medicine
  • Paediatric critical care

Background:

  • Central venous catheter (CVC) insertion packs contain single-use items often discarded without use.
  • Significant waste generation occurs from CVC packs in clinical settings.

Purpose of the Study:

  • To assess Australian paediatric critical care clinicians' views on CVC insertion pack waste.
  • To identify non-essential items within CVC packs for waste reduction.
  • To estimate financial and carbon footprint savings from a refined CVC pack.

Main Methods:

  • Survey and interviews conducted with clinicians at two Australian paediatric tertiary hospitals.
  • Clinicians identified commonly non-essential items in CVC packs.
  • Financial costs and embodied carbon emissions (CO2e) were calculated for a refined pack.

Main Results:

  • 25 clinicians completed the survey, and 18 were interviewed.
  • All respondents were open to using a less wasteful CVC pack.
  • Five items were commonly identified as non-essential, with additional strategies like item-selection trolleys proposed.
  • A refined pack could save approximately A$1400 and 230 kg CO2e annually per hospital.

Conclusions:

  • Refining CVC insertion packs by removing non-essential items can significantly reduce healthcare waste.
  • Implementing waste reduction strategies offers substantial financial and environmental benefits.
  • Addressing clinician moral distress regarding environmental impact is crucial for sustainable healthcare practices.