加拿大的手术室提高环境可持续性:基于证据的政策指南
Jamie Goldman1, Emily A Pearsall1, Kathy Liu1
1Department of Surgery (Goldman, Pearsall, Liu, Donahoe, Nadler, Vincent, McKellar, Devon, Ward), University of Toronto; St. Michael's Hospital (Goldman, Liu, Ward); Mount Sinai Hospital (Pearsall, De Castro, Philip); North York General Hospital (Le); Department of Anesthesia (Le, Abbass, Van Der Vyver), University of Toronto; St. Joseph's Health Centre (Abbass); Collaborative Centre for Climate, Health and Sustainable Care (Abbass, Miller, Ward), University of Toronto; Patient partner (Khalid); Sunnybrook Health Sciences Centre (Nadler, Van Der Vyver), Toronto, Ont.; Faculty of Medicine (Moloo), University of Ottawa, Ottawa, Ont.; Women's College Hospital (Devon); Institute of Health, Policy, Management and Evaluation (Miller, Ward), University of Toronto, Toronto, Ont.
本指南提供了21个可行的建议,以提高加拿大的手术室 (OR) 的环境可持续性. 实施这些战略可以显著减少医疗保健对环境的影响.
科学领域:
- 医疗保健中的环境科学
- 可持续的外科手术实践
- 卫生系统研究 卫生系统研究
背景情况:
- 加拿大医疗保健系统对温室气体排放和污染物有重大贡献.
- 手术室 (OR) 在医疗保健中对环境产生重大影响.
- 需要采取可行的战略来改善OR的环境可持续性.
研究的目的:
- 为增加手术室 (OR) 的环境可持续性提供可行的建议.
- 为解决加拿大极端贫困地区对环境造成的重大负担.
- 引导医疗保健机构减少其生态足迹.
主要方法:
- 该指南由多伦多大学外科手术最佳实践小组制定.
- 遵守AGREE医疗服务工具,ADAPTE和指南国际网络原则.
- 利用基于三重底线 (人,利,星球) 的独特分级矩阵和修改后的Delphi方法达成共识.
主要成果:
- 21个建议改善或环境可持续性,分为减少,再利用,回收和重新思考.
- 建议包括废物分离,减少制药废物,优化仪器使用和节能.
- 这些战略旨在减少吸入麻醉产生的排放,并促进对一次性物品的可重复使用替代品.
结论:
- 手术室对加拿大医疗保健的环境负担做出了重大贡献.
- 这些建议提供了切实可行的解决方案,以减轻极端贫困地区对环境的影响.
- 实施这些策略对于手术环境的长期可持续性至关重要.
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