The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.
People, planet and profits: the case for greening operating rooms
Open accessAbstract
Over the past 40 years, the health care industry has undergone radical changes in the types of products it uses and its waste disposal practices.[1][1],[2][2] In the 1980s, concerns about the spread of blood-borne diseases prompted a shift from reusable to single-use devices, resulting in increases
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“Previous reviews of the environmental sustainability of operating theatres have mostly focused on waste management strategies, encouraging reduction, reuse and recycling (alongside 'rethinking' and research).(23,24)”
From The Carbon Footprint of Surgical Operations (2020) · cites this paper as [23]
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“In 2014, desflurane accounted for 80% of the CO2e emission related to inhalational anesthetics6.”
From A call for immediate climate action in anesthesiology: routine use of minimal or metabolic fresh gas flow reduces our ecological footprint (2023) · cites this paper as [6]
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Cites
Estimate of the carbon footprint of the US health care sector
Chung, J. W., & Meltzer, D. O. (2009) · JAMA · doi:10.1001/jama.2009.1610 · Cited by 415
NATIONAL HEALTH EXPENDITURE TRENDS, 2000 TO 2019
Vn, L., Zaiarskyi, M. I., Vudvud, V., & Kovalevych, D. (2022) · Wiadomości Lekarskie · doi:10.36740/wlek202205116 · Cited by 386
Acid rain and its ecological consequences.
Singh, A., & Agrawal, M. (2008) · PubMed · Cited by 327
A Review of Single-Use and Reusable Gowns and Drapes in Health Care
Rutala, W. A., & Weber, D. J. (2001) · Infection Control and Hospital Epidemiology · doi:10.1086/501895 · Cited by 181
Conrardy, J. A., Hillanbrand, M., Myers, S., & Nussbaum, G. F. (2010) · AORN Journal · doi:10.1016/j.aorn.2009.12.029 · Cited by 166
Langbein, T., Sonntag, H., Trapp, D., Hoffmann, A., Malms, W., Röth, E. P., Mörs, V, & Zellner, R. (1999) · British Journal of Anaesthesia · doi:10.1093/bja/82.1.66 · Cited by 153
Surgical waste audit of 5 total knee arthroplasties
Stall, N. M., Kagoma, Y. K., Bondy, J. N., & Naudie, D. (2013) · Canadian Journal of Surgery · doi:10.1503/cjs.015711 · Cited by 118
Self-citationHutchins, D. C. J., & White, S. (2009) · BMJ · doi:10.1136/bmj.b609 · Cited by 107
A Quantitative, Qualitative, and Critical Assessment of Surgical Waste
Tieszen, M. (1992) · JAMA · doi:10.1001/jama.267.20.2765 · Cited by 106
Can efficient supply management in the operating room save millions?
Park, K. W., & Dickerson, C. (2009) · Current Opinion in Anaesthesiology · doi:10.1097/aco.0b013e32832798ef · Cited by 102
Commentary: a call to go green in health care by reprocessing medical equipment
Kwakye, G., Pronovost, P. J., & Makary, M. A. (2010) · Academic Medicine · doi:10.1097/acm.0b013e3181cd5a71 · Cited by 80
Environmental impacts of atmospheric nitrous oxide
Badr, O., & Probert, S. D. (1993) · Applied Energy · doi:10.1016/0306-2619(93)90018-k · Cited by 79
Colonel, & Higgins, M. J. (2013) · Cited by 70
Reduce–Recycle–Reuse: Guidelines for Promoting Perioperative Waste Management
Laustsen, G. (2007) · AORN Journal · doi:10.1016/s0001-2092(07)60146-x · Cited by 68
Tieszen, M., & Gruenberg, J. C. (1992) · PubMed · Cited by 67
Physical and Chemical Composition of Hospital Waste
Li, C.-S., & Jenq, F. (1993) · Infection Control and Hospital Epidemiology · doi:10.1086/646700 · Cited by 63
Niki, Y. (2007) · Nihon Naika Gakkai Zasshi · doi:10.2169/naika.96.1754 · Cited by 52
Silica zeolite scavenging of exhaled isoflurane: A preliminary report
Doyle, D. J., Byrick, R. J., Filipovic, D., & Cashin, F. (2002) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/bf03017411 · Cited by 48
Physical and Chemical Composition of Hospital Waste
Li, C.-S., & Jenq, F. (1993) · Infection Control and Hospital Epidemiology · doi:10.2307/30148478 · Cited by 44
Short, H. (2005) · PubMed · Cited by 43
Medical waste in the environment: do anesthesia personnel have a role to play?
Goldberg, M. E., Vekeman, D., Torjman, M. C., Seltzer, J. L., & Kynes, T. (1996) · Journal of Clinical Anesthesia · doi:10.1016/0952-8180(96)00127-4 · Cited by 42
Environmental Accountability in Perioperative Settings
Melamed, A. (2003) · AORN Journal · doi:10.1016/s0001-2092(06)60978-2 · Cited by 39
Psychological Explanations and Interventions for Indifference to Greening Hospitals
Topf, M. (2005) · Health Care Management Review · doi:10.1097/00004010-200501000-00002 · Cited by 39
Assessment of the economic impact of an overage reduction program in the operating room
Rosenblatt, W. H., Chavez, A., Tenney, D., & Silverman, D. G. (1997) · Journal of Clinical Anesthesia · doi:10.1016/s0952-8180(97)00104-9 · Cited by 34
Polisena, J., Hailey, D. M., Moulton, K., Noorani, H. Z., Jacobs, P., Ries, N. M., McGill, S., & Gardam, M. A. (2008) · Infection Control and Hospital Epidemiology · doi:10.1086/587648 · Cited by 33
Rosenblatt, W. H., & Silverman, D. G. (1994) · Journal of Clinical Anesthesia · doi:10.1016/s0952-8180(05)80010-8 · Cited by 30
Reprocessing SUDs reduces waste, costs.
DiConsiglio, J. (2008) · PubMed · Cited by 28
Janchen, Brückner, & Stach (1998) · European Journal of Anaesthesiology · doi:10.1046/j.1365-2346.1998.00299.x · Cited by 21
Alternative Waste Management Strategies
Nussbaum, G. F. (2008) · Perioperative Nursing Clinics · doi:10.1016/j.cpen.2007.11.009 · Cited by 18
The Ecological Footprint of Lions Gate Hospital
Germain, S. (2001) · Healthcare Quarterly · doi:10.12927/hcq..16685 · Cited by 11
Tieszen, M. E., & Gruenberg, J. C. (1996) · Journal of Clinical Anesthesia · doi:10.1016/0952-8180(96)80521-6 · Cited by 10
Cachefo-Pereira, A., & Neto, E. P. D. S. (2023) · Brazilian Journal of Anesthesiology (English Edition) · doi:10.1016/j.bjane.2023.09.003 · Cited by 8
Path to Green: Practice Improvement in the OR
Parham, J. C. (2011) · AORN Journal · doi:10.1016/j.aorn.2011.01.011 · Cited by 5
Britons Question Global Warming More Than Americans and Canadians
Unidentified (2011) · Cited by 5
Ariyan, S., & Wh, R. (1994) · PubMed · Cited by 5
Going green in the OR brings financial, environmental gains.
Saver, C. (2011) · PubMed · Cited by 5
OR and materials: the yin and yang.
Souhrada, L. (1999) · PubMed · Cited by 5
Green initiatives in hospitals in Ontario: Is there a business case?
Ueckermann, J. (2011) · Cited by 3
LED Surgical Task Lighting Scoping Study: A Hospital Energy Alliance Project
USDOE, & Tuenge, J. (2011) · doi:10.2172/1004017 · Cited by 2
Hand hygiene compliance means using the right products correctly.
Eash, B. A. (2008) · PubMed · Cited by 2
Safe options for suction canister waste.
Mathias, J. M. (2004) · PubMed · Cited by 2
Flagged first, then by citations
Research works printed but not linked: 4
- [23]23. Shaner H, McRae G. Invisible costs/visible savings: innovations in waste management for hospitals. Surgical Services Management 1996;2:17-21.
- [25]25. Barlow RD. Proper liquid waste disposal mines solid gold bot- tom line. Healthcare Purchas News 2004;28:60-4.
- [48]48. Dioxins and Furans Incineration Canada-wide Standards Review Group. Review of dioxins and furans from incineration in sup- Analysis port of a Canada-wide standard review. Winnipeg (MB): Cana- dian Council of Ministers of the Environment; 2007.
- [58]58. Park KW, Dickerson C. Can efficient supply management in the operating room save millions? Curr Opin Anaesthesiol 2009; 22: 242-8.
Cited by
Sorted by citations
Thiel, C. L., Eckelman, M., Guido, R., Huddleston, M., Landis, A. E., Sherman, J., Shrake, S. O., Copley-Woods, N., & Bilec, M. M. (2015) · Environmental Science & Technology · doi:10.1021/es504719g · Cited by 416
The Carbon Footprint of Surgical Operations
Rizan, C., Steinbach, I., Nicholson, R., Lillywhite, R., Reed, M., & Bhutta, M. F. (2020) · Annals of Surgery · doi:10.1097/sla.0000000000003951 · Cited by 400
Operating room greening initiatives—The old, the new, and the way forward: A narrative review
Wyssusek, K. H., Keys, M. T., & van Zundert, A. A. J. (2019) · Waste Management & Research: The Journal for a Sustainable Circular Economy · doi:10.1177/0734242x18793937 · Cited by 217
Surgical waste audit of 5 total knee arthroplasties
Stall, N. M., Kagoma, Y. K., Bondy, J. N., & Naudie, D. (2013) · Canadian Journal of Surgery · doi:10.1503/cjs.015711 · Cited by 118
Self-citationLean six sigma and environmental sustainability: a hospital perspective
Zhu, Q., Johnson, S. A., & Sarkis, J. (2018) · Supply Chain Forum an International Journal · doi:10.1080/16258312.2018.1426339 · Cited by 113
Metadata
- Authors
- Kagoma, Y., Stall, N., Rubinstein, E., & Naudie, D.
- Affiliations
- Western University (CA)
- ORCID
- Stall, Nathan
- Venue
- Canadian Medical Association Journal
- Publisher
- CMA Joule Inc.
- Published
- 2012-06-04
- Volume
- 184
- Issue
- 17
- Pages
- 1905-1911
- ISSN
- 0820-3946 (ISSN-L)
- 1488-2329
- PMC
- PMC3503903
- OpenAlex
- W2130867920
- Cited by
- 229
- References
- 41
- Citations by year
- 2026: 30 · 2025: 33 · 2024: 36 · 2023: 36 · 2022: 29 · 2021: 17 · 2020: 18 · 2019: 4 · 2018: 9 · 2017: 2 · 2016: 6 · 2015: 2 · 2014: 1 · 2013: 5 · 2012: 1
- FWCI
- 2.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Canadian Medical Association Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare and Environmental Waste Management
- Physical Sciences › Engineering › Architecture › Healthcare Facilities Design and Sustainability
- Life Sciences › Immunology and Microbiology › Microbiology › Medical Device Sterilization and Disinfection
- Keywords
- environmental sustainability in healthcare, single-use medical devices, reusable medical devices, health care waste, blood-borne transmission, environmental impact of healthcare
- MeSH terms
- Humans, Operating Rooms, Waste Disposal, Fluid, Gas Scavengers, Health Care Costs, Efficiency, Organizational, Equipment Reuse, Medical Waste Disposal, Greenhouse Effect, Product Packaging
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