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Nachhaltigkeit in der chirurgischen Niederlassung – ein narratives Review
BACKGROUND: Surgery is contributing to the climate crisis, not least in the outpatient sector. The present publication aims to identify the challenges this poses, and to provide clear, preferably evidence-based recommendations on environmental protection while simultaneously reducing costs. METHOD:...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Medizin
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158674/ https://www.ncbi.nlm.nih.gov/pubmed/37362611 http://dx.doi.org/10.1007/s00053-023-00711-7 |
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author | Mezger, Nikolaus Christian Simon Eickel, Florian Lorenz, Ralph Griesel, Mirko |
author_facet | Mezger, Nikolaus Christian Simon Eickel, Florian Lorenz, Ralph Griesel, Mirko |
author_sort | Mezger, Nikolaus Christian Simon |
collection | PubMed |
description | BACKGROUND: Surgery is contributing to the climate crisis, not least in the outpatient sector. The present publication aims to identify the challenges this poses, and to provide clear, preferably evidence-based recommendations on environmental protection while simultaneously reducing costs. METHOD: Narrative review with a non-systematic search and selection in PubMed/MEDLINE and grey area literature as well as expert interviews. RESULTS: Numerous primary articles, evidence syntheses, practical recommendations for action and checklists were identified and two experts were interviewed. Environmental issues were identified in the production and procurement, transport of people and goods, usage of materials, pharmaceuticals including anesthetic gases and energy consumption in the outpatient practice and also in disposal, recycling, and sterilization. High-quality publications do not describe a lack of knowledge on alternatives but on a lack of implementation in clinical practice. Therefore, the identified issues were classified in the 5‑R scheme (reduce, reuse, recycle, rethink, research) to present recommendations for action, which are synergetic in terms of cost reduction, patient and staff satisfaction. Furthermore, changes in regulatory frameworks are discussed. CONCLUSION: Outpatient surgery comes with relevant consumption of resources and carbon emissions. There are numerous opportunities for action that combine environmental protection with cost reduction as well as patient and staff satisfaction. Incentives, guidelines, and legal framework conditions are needed for comprehensive environmental protection in the private sector. |
format | Online Article Text |
id | pubmed-10158674 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Medizin |
record_format | MEDLINE/PubMed |
spelling | pubmed-101586742023-05-09 Nachhaltigkeit in der chirurgischen Niederlassung – ein narratives Review Mezger, Nikolaus Christian Simon Eickel, Florian Lorenz, Ralph Griesel, Mirko Coloproctology Leitthema BACKGROUND: Surgery is contributing to the climate crisis, not least in the outpatient sector. The present publication aims to identify the challenges this poses, and to provide clear, preferably evidence-based recommendations on environmental protection while simultaneously reducing costs. METHOD: Narrative review with a non-systematic search and selection in PubMed/MEDLINE and grey area literature as well as expert interviews. RESULTS: Numerous primary articles, evidence syntheses, practical recommendations for action and checklists were identified and two experts were interviewed. Environmental issues were identified in the production and procurement, transport of people and goods, usage of materials, pharmaceuticals including anesthetic gases and energy consumption in the outpatient practice and also in disposal, recycling, and sterilization. High-quality publications do not describe a lack of knowledge on alternatives but on a lack of implementation in clinical practice. Therefore, the identified issues were classified in the 5‑R scheme (reduce, reuse, recycle, rethink, research) to present recommendations for action, which are synergetic in terms of cost reduction, patient and staff satisfaction. Furthermore, changes in regulatory frameworks are discussed. CONCLUSION: Outpatient surgery comes with relevant consumption of resources and carbon emissions. There are numerous opportunities for action that combine environmental protection with cost reduction as well as patient and staff satisfaction. Incentives, guidelines, and legal framework conditions are needed for comprehensive environmental protection in the private sector. Springer Medizin 2023-05-04 /pmc/articles/PMC10158674/ /pubmed/37362611 http://dx.doi.org/10.1007/s00053-023-00711-7 Text en © The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2023 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Leitthema Mezger, Nikolaus Christian Simon Eickel, Florian Lorenz, Ralph Griesel, Mirko Nachhaltigkeit in der chirurgischen Niederlassung – ein narratives Review |
title | Nachhaltigkeit in der chirurgischen Niederlassung – ein narratives Review |
title_full | Nachhaltigkeit in der chirurgischen Niederlassung – ein narratives Review |
title_fullStr | Nachhaltigkeit in der chirurgischen Niederlassung – ein narratives Review |
title_full_unstemmed | Nachhaltigkeit in der chirurgischen Niederlassung – ein narratives Review |
title_short | Nachhaltigkeit in der chirurgischen Niederlassung – ein narratives Review |
title_sort | nachhaltigkeit in der chirurgischen niederlassung – ein narratives review |
topic | Leitthema |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158674/ https://www.ncbi.nlm.nih.gov/pubmed/37362611 http://dx.doi.org/10.1007/s00053-023-00711-7 |
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