在重症监护室实验室测试的碳足迹:质量改进项目的基线评估
Siting Goh1, Yu Heng Julian Tan1, Sui An Lie1
1Department of Anaesthesiology and Perioperative Medicine, Singapore General Hospital, Singapore.
Nursing in critical care
|August 11, 2025
概括
在重症监护室 (ICU) 的实验室调查产生了可测量的碳足迹. 减少不必要的测试可以促进医疗保健中的环境可持续性.
科学领域:
- 医疗保健的可持续性 医疗保健的可持续性
- 医学对环境的影响 医学对环境的影响
- 临床实验室科学 临床实验室科学
背景情况:
- 医疗保健是全球碳排放 (4%至5%) 的重要贡献者.
- 重症监护病房 (ICU) 的每天的碳足迹比一般病房更高.
- 过度订购实验室测试加剧了ICU内的碳足迹.
研究的目的:
- 在ICU环境中量化实验室调查的碳足迹.
- 为了在8个月的时间内评估这种环境影响.
主要方法:
- 在外科ICU中订购的实验室调查的回顾性分析.
- 在8个月内 (2023年5月至12月) 从电子医疗记录中收集的数据.
- 用于计算碳排放 (kgCO2e) 的生命周期评估 (LCA) 数据.
主要成果:
- 总排放量为1560公斤CO2e,平均每天患者排放量为1.07公斤CO2e.
- 尿素,电解质和肌素 (UECr) 是最常见的;肝功能测试 (LFT) 的排放量最高.
- 20.7%的调查缺乏可用的LCA数据.
结论:
- 实验室调查有助于在ICU中量化碳足迹.
- 针对不必要的测试提供了一个减少环境影响的机会.
- 临床医生应注意实验室测试对环境的影响.
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