非医院外科中心如何改善其环境足迹 (并降低成本)?
Barinder Bajwa1, Zach Zhang1, Young Ji Tuen1
1Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
Plastic surgery (Oakville, Ont.)
|January 6, 2025
概括
不列颠哥伦比亚省的非医院外科中心表现出愿意采用可持续实践的意愿,但缺乏知识和正式计划. 主要障碍包括成本,基础设施和监管指南,突出了教育和经济解决方案的需要.
科学领域:
- 环境科学 环境科学
- 医疗保健的可持续性 医疗保健的可持续性
- 手术实践 手术实践
背景情况:
- 医疗保健部门对温室气体排放做出了重大贡献,手术室 (OR) 是主要的废物产生者.
- 非医院外科手术中心是分析和改善医疗保健中的环境实践的机会.
研究的目的:
- 评估不列颠哥伦比亚省非医院外科手术中心当前的绿色做法.
- 评估对环境可持续性的态度,并确定这些中心实施更绿色实践的障碍.
主要方法:
- 在不列颠哥伦比亚省所有认可的非医院外科手术中心分发了一份调查.
- 该调查收集了有关当前环境实践,适应意愿,知识差距和实施障碍的数据.
主要成果:
- 在56个联系中心中,有18个中心回应,其中89%表示愿意采用可持续实践.
- 报告说,大量使用具有高全球变暖潜力的麻醉气体 (64%) 和一次性物品 (窗/长袍78%/67%).
- 发现的障碍包括成本 (44%),基础设施 (44%),监管指南 (39%),知识 (39%) 和安全 (28%).
结论:
- 转向可持续的OR实践可以降低医疗保健成本和排放,麻醉气体选择和可重复使用的床单具有影响力.
- 教育和监管支持对于克服识别的障碍至关重要.
- 需要教育,明确的指导方针和经济可行的选择,以从意识转向可持续的外科手术实践.
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