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13.12.2018 | Reports of Original Investigations

A national survey on attitudes and barriers on recycling and environmental sustainability efforts among Canadian anesthesiologists: an opportunity for knowledge translation

verfasst von: Maria-Alexandra Petre, MD, FRCPC, Lisa Bahrey, MD, FRCPC, Mark Levine, MBBCh, DA, FRCPC, Adriaan van Rensburg, MBChB, FRCPC, Mark Crawford, MBBS, FRCPC, Clyde Matava, MBChB, DA, MMed

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie

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Abstract

Background

Anesthesia-related activities produce 25% of all operating room (OR) waste and contribute to environmental pollution and climate change. The aim of this study was to document Canadian anesthesiologists’ current practice, attitudes towards, and perceived barriers regarding recycling of OR waste and environmental sustainability efforts.

Methods

With Research Ethics Board approval, members of the Canadian Anesthesiologists’ Society (CAS) completed an online survey consisting of 25 questions assessing current environmentally sustainable practices in anesthesiology and gaps, barriers, and interest in gaining further knowledge on this topic.

Results

Four hundred and twenty-six of 2,695 (16%) CAS members responded to the questionnaire. Despite a willingness to recycle at work among most anesthesiologists (393/403, 97.5%), only 122/403 (30.2%) did so. Other sustainability efforts in Canadian ORs included donating unused medical equipment and supplies to medical missions (198/400, 49.5%) and evening shut-off of anesthesia machines and other OR equipment (185/400, 46.3%). Reported barriers to recycling in the OR included a lack of support from hospital/OR leadership (254/400, 63.5%) and inadequate information/education (251/400, 62.8%). Only 122/389 (31.4%) of respondents were aware of any efforts to expand sustainability programs at their institutions but 273/395 (69.1%) of respondents indicated an interest in obtaining further education on the topic.

Conclusion

Canadian anesthesiologists appear ready to incorporate environmental sustainability in their practice but indicate that significant barriers exist. Our study highlights the need for further educational programs and implementation strategies.
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Literatur
1.
Zurück zum Zitat Landrigan PJ, Fuller R, Acosta NJ, et al. The Lancet Commission on pollution and health. Lancet 2018; 391: 462-512.CrossRefPubMed Landrigan PJ, Fuller R, Acosta NJ, et al. The Lancet Commission on pollution and health. Lancet 2018; 391: 462-512.CrossRefPubMed
3.
Zurück zum Zitat Eckelman MJ, Sherman J. Environmental impacts of the U.S . health care system and effects on public health. PLoS One 2016; 11: e0157014. Eckelman MJ, Sherman J. Environmental impacts of the U.S . health care system and effects on public health. PLoS One 2016; 11: e0157014.
4.
Zurück zum Zitat McGain F, Naylor C. Environmental sustainability in hospitals - a systematic review and research agenda. J Health Serv Res Policy 2014; 19: 245-52.CrossRefPubMed McGain F, Naylor C. Environmental sustainability in hospitals - a systematic review and research agenda. J Health Serv Res Policy 2014; 19: 245-52.CrossRefPubMed
5.
Zurück zum Zitat McGain FM, Hendel SA, Story DA. An audit of potentially recyclable waste from anaesthetic practice. Anesth Intensive Care 2009; 37: 820-3.CrossRef McGain FM, Hendel SA, Story DA. An audit of potentially recyclable waste from anaesthetic practice. Anesth Intensive Care 2009; 37: 820-3.CrossRef
6.
Zurück zum Zitat Tudor TL, Marsh CL, Butler S, Van Horn JA, Jenkin LE. Realising resource efficiency in the management of healthcare waste from the Cornwall National Health Service (NHS) in the UK. Waste Manag 2008; 28: 1209-18.CrossRefPubMed Tudor TL, Marsh CL, Butler S, Van Horn JA, Jenkin LE. Realising resource efficiency in the management of healthcare waste from the Cornwall National Health Service (NHS) in the UK. Waste Manag 2008; 28: 1209-18.CrossRefPubMed
9.
Zurück zum Zitat McGain F, Story D, Kayak E, Kashima Y, McAlister S. Workplace sustainability: the “cradle to grave” view of what we do. Anesth Analg 2012; 114: 1134-9.CrossRefPubMed McGain F, Story D, Kayak E, Kashima Y, McAlister S. Workplace sustainability: the “cradle to grave” view of what we do. Anesth Analg 2012; 114: 1134-9.CrossRefPubMed
10.
Zurück zum Zitat McGain F, White S, Mossenson S, Kayak E, Story D. A survey of anesthesiologists’ views of operating room recycling. Anesth Analg 2012; 114: 1049-54.CrossRefPubMed McGain F, White S, Mossenson S, Kayak E, Story D. A survey of anesthesiologists’ views of operating room recycling. Anesth Analg 2012; 114: 1049-54.CrossRefPubMed
11.
Zurück zum Zitat Ard JL, Tobin K, Huncke T, Kline R, Ryan SM, Bell C. A survey of the American Society of Anesthesiologists regarding environmental attitudes, knowledge, and organization. A A Case Rep 2015; 6: 208-16.CrossRef Ard JL, Tobin K, Huncke T, Kline R, Ryan SM, Bell C. A survey of the American Society of Anesthesiologists regarding environmental attitudes, knowledge, and organization. A A Case Rep 2015; 6: 208-16.CrossRef
13.
Zurück zum Zitat McGain F, Jarosz KM, Nguyen MN, Bates S, O’Shea CJ. Auditing operating room recycling: a management case report. A Case Rep 2015; 5: 47-50. McGain F, Jarosz KM, Nguyen MN, Bates S, O’Shea CJ. Auditing operating room recycling: a management case report. A Case Rep 2015; 5: 47-50.
15.
Zurück zum Zitat Wan EL, Xie L, Barrett M, et al. Global public health impact of recovered supplies from operating rooms: a critical analysis with national implications. World J Surg 2015; 39: 29-35.CrossRefPubMed Wan EL, Xie L, Barrett M, et al. Global public health impact of recovered supplies from operating rooms: a critical analysis with national implications. World J Surg 2015; 39: 29-35.CrossRefPubMed
17.
Zurück zum Zitat Germain S. The ecological footprint of Lions Gate Hospital. Healthc Q 2001; 5: 61-6.CrossRef Germain S. The ecological footprint of Lions Gate Hospital. Healthc Q 2001; 5: 61-6.CrossRef
19.
20.
Zurück zum Zitat Chenven L, Copeland D. Front-line worker engagement: greening health care, improving worker and patient health, and building better jobs. New Solut 2013; 23: 327-45.CrossRefPubMed Chenven L, Copeland D. Front-line worker engagement: greening health care, improving worker and patient health, and building better jobs. New Solut 2013; 23: 327-45.CrossRefPubMed
21.
Zurück zum Zitat Topf M. Psychological explanations and interventions for indifference to greening hospitals. Health Care Manage Rev 2005; 30: 2-8.CrossRefPubMed Topf M. Psychological explanations and interventions for indifference to greening hospitals. Health Care Manage Rev 2005; 30: 2-8.CrossRefPubMed
22.
Zurück zum Zitat Wormer BA, Augenstein VA, Carpenter CL, et al. The green operating room: simple changes to reduce cost and our carbon footprint. Am Surg 2013; 79: 666-71.PubMed Wormer BA, Augenstein VA, Carpenter CL, et al. The green operating room: simple changes to reduce cost and our carbon footprint. Am Surg 2013; 79: 666-71.PubMed
23.
Zurück zum Zitat Dunphy JL. Healthcare professionals’ perspectives on environmental sustainability. Nurs Ethics 2014; 21: 414-25.CrossRefPubMed Dunphy JL. Healthcare professionals’ perspectives on environmental sustainability. Nurs Ethics 2014; 21: 414-25.CrossRefPubMed
24.
Zurück zum Zitat Soares SR, Finotti AR, da Silva VP, Alvarenga RA. Applications of life cycle assessment and cost analysis in health care waste management. Waste Manag 2013; 33: 175-83.CrossRefPubMed Soares SR, Finotti AR, da Silva VP, Alvarenga RA. Applications of life cycle assessment and cost analysis in health care waste management. Waste Manag 2013; 33: 175-83.CrossRefPubMed
25.
Zurück zum Zitat Lee BK, Ellenbecker MJ, Moure-Eraso R. Analyses of the recycling potential of medical plastic wastes. Waste Manag 2002; 22: 461-70.CrossRefPubMed Lee BK, Ellenbecker MJ, Moure-Eraso R. Analyses of the recycling potential of medical plastic wastes. Waste Manag 2002; 22: 461-70.CrossRefPubMed
26.
Zurück zum Zitat Pogorzelska-Maziarz M. Relationship between sharps disposal containers and Clostridium difficile infections in acute care hospitals. Am J Infect Control 2015; 43: 1081-5.CrossRefPubMed Pogorzelska-Maziarz M. Relationship between sharps disposal containers and Clostridium difficile infections in acute care hospitals. Am J Infect Control 2015; 43: 1081-5.CrossRefPubMed
27.
Zurück zum Zitat Sherman J, Le C, Lamers V, Eckelman M. Life cycle greenhouse gas emissions of anesthetic drugs. Anesth Analg 2012; 114: 1086-90.CrossRefPubMed Sherman J, Le C, Lamers V, Eckelman M. Life cycle greenhouse gas emissions of anesthetic drugs. Anesth Analg 2012; 114: 1086-90.CrossRefPubMed
28.
Zurück zum Zitat Yang Y, Rivera AJ, Fortier CR, Abernathy JH 3rd. A Human factors engineering study of the medication delivery process during an anesthetic: self-filled syringes versus prefilled syringes. Anesthesiology 2016; 124: 795-803.CrossRefPubMed Yang Y, Rivera AJ, Fortier CR, Abernathy JH 3rd. A Human factors engineering study of the medication delivery process during an anesthetic: self-filled syringes versus prefilled syringes. Anesthesiology 2016; 124: 795-803.CrossRefPubMed
29.
Zurück zum Zitat Eckelman M, Mosher M, Gonzalez A, Sherman J. Comparative life cycle assessment of disposable and reusable laryngeal mask airways. Anesth Analg 2012; 114: 1067-72.CrossRefPubMed Eckelman M, Mosher M, Gonzalez A, Sherman J. Comparative life cycle assessment of disposable and reusable laryngeal mask airways. Anesth Analg 2012; 114: 1067-72.CrossRefPubMed
30.
Zurück zum Zitat Overcash M. A comparison of reusable and disposable perioperative textiles: sustainability state-of-the-art 2012. Anesth Analg 2012; 114: 1055-66.CrossRefPubMed Overcash M. A comparison of reusable and disposable perioperative textiles: sustainability state-of-the-art 2012. Anesth Analg 2012; 114: 1055-66.CrossRefPubMed
31.
Zurück zum Zitat Grimmond T, Reiner S. Impact on carbon footprint: a life cycle assessment of disposable versus reusable sharps containers in a large US hospital. Waste Manag Res 2012; 30: 639-42.CrossRefPubMed Grimmond T, Reiner S. Impact on carbon footprint: a life cycle assessment of disposable versus reusable sharps containers in a large US hospital. Waste Manag Res 2012; 30: 639-42.CrossRefPubMed
32.
Zurück zum Zitat McGain F, McAlister S, McGavin A, Story D. A life cycle assessment of reusable and single-use central venous catheter insertion kits. Anesth Analg 2012; 114: 1073-80.CrossRefPubMed McGain F, McAlister S, McGavin A, Story D. A life cycle assessment of reusable and single-use central venous catheter insertion kits. Anesth Analg 2012; 114: 1073-80.CrossRefPubMed
Metadaten
Titel
A national survey on attitudes and barriers on recycling and environmental sustainability efforts among Canadian anesthesiologists: an opportunity for knowledge translation
verfasst von
Maria-Alexandra Petre, MD, FRCPC
Lisa Bahrey, MD, FRCPC
Mark Levine, MBBCh, DA, FRCPC
Adriaan van Rensburg, MBChB, FRCPC
Mark Crawford, MBBS, FRCPC
Clyde Matava, MBChB, DA, MMed
Publikationsdatum
13.12.2018
Verlag
Springer International Publishing
Erschienen in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-018-01273-9

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