减少外科手术废物负担的干预措施:系统性审查
Cindy Vu1, Alejandra Ibarra-Vega1, Christopher D Yang1
1From the Irvine School of Medicine, University of California, Irvine, Calif.
Plastic and reconstructive surgery. Global open
|August 22, 2024
概括
通过各种干预措施,外科医生可以减少手术室的浪费和成本. 本次审查强调了诸如提供者教育和优化仪器设置等战略,从而带来了显著的环境和财务效益.
科学领域:
- 环境科学 环境科学
- 医疗保健管理的管理
- 手术创新 在外科创新.
背景情况:
- 操作套件产生大量的废物,污染和成本.
- 外科医生在减轻外科手术对环境的影响方面发挥着关键作用.
- 实施可持续战略对于医疗保健系统至关重要.
研究的目的:
- 审查有关旨在减少手术浪费的干预措施的文献.
- 确定减少手术室对环境的影响的策略.
- 探索降低外科手术操作成本的方法.
主要方法:
- 在PubMed,Cochrane和Embase数据库中的系统文献搜索.
- 包括报告有关减少运营废物 (排放,能源,垃圾) 的干预措施的研究.
- 排除案例报告,意见稿,评论和元分析;使用MINORS和Jadad尺度进行质量评估.
主要成果:
- 13项研究 (I-III级证据) 符合纳入标准.
- 干预措施包括提供者教育,仪器设置,一次性物品管理和技术更改.
- 七项研究报告说,一次性手术废物显著减少,7项研究报告说,一次性手术废物显著减少了成本.
结论:
- 手术废弃物减少计划有效减少废弃物量,成本和碳排放.
- 在整形外科手术中,最小的手术包可以减少浪费和成本,同时保持患者的满意度.
- 这些发现支持在手术环境中实施减少浪费策略.
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