Handle Healthcare Environmental Problems Quickly Now

Handle Healthcare Environmental Problems Quickly Now 1

Healthcare facilities face a myriad of environmental challenges that can significantly impact patient health, staff well-being, and overall operational efficiency. From waste management and indoor air quality to water conservation and energy consumption, addressing these issues promptly and effectively is crucial for maintaining a safe and sustainable healthcare environment.

This article explores the various environmental problems commonly encountered in healthcare settings and provides practical strategies for tackling them head-on. By implementing proactive measures and adopting best practices, healthcare organizations can not only mitigate potential risks but also demonstrate their commitment to environmental stewardship and patient care excellence.

Identifying Healthcare Environmental Issues

Healthcare facilities are complex environments that face a wide range of environmental challenges. These issues can have significant implications for patient health, staff well-being, and the overall sustainability of the organization. Identifying and addressing these problems promptly is essential to maintain a safe and healthy healthcare setting.

Common Environmental Problems in Healthcare Facilities

One of the most pressing environmental concerns in healthcare facilities is the generation and management of medical waste. This includes sharps, infectious materials, pharmaceuticals, and chemical waste, which can pose serious health risks if not handled properly[1]. Additionally, healthcare settings often struggle with maintaining optimal indoor air quality due to the presence of airborne pathogens, chemicals, and other pollutants.

Important
Identifying common environmental issues in healthcare facilities is the first step towards developing effective solutions and mitigating potential risks.

Impact of Environmental Issues on Patient Health and Safety

Environmental problems in healthcare facilities can have direct and indirect effects on patient health and safety. Poor waste management practices can lead to the spread of infections, while inadequate air filtration systems can exacerbate respiratory conditions[2]. Moreover, exposure to hazardous chemicals and pollutants can cause adverse health outcomes, particularly among vulnerable populations such as immunocompromised patients and the elderly.

Regulatory Compliance and Environmental Standards

Healthcare organizations are subject to various regulatory requirements and environmental standards to ensure the safety of patients, staff, and the community. Compliance with these regulations, such as the Resource Conservation and Recovery Act (RCRA) and the Clean Air Act, is crucial to avoid legal and financial repercussions[3]. Staying up-to-date with the latest guidelines and best practices is essential for maintaining a compliant and environmentally responsible healthcare facility.

Conducting Environmental Risk Assessments

To effectively identify and prioritize environmental issues, healthcare facilities should conduct regular environmental risk assessments. These assessments involve evaluating the potential impacts of various environmental factors on patient care, staff health, and overall operations. By systematically identifying risks and vulnerabilities, healthcare organizations can develop targeted interventions and allocate resources efficiently to address the most critical environmental challenges.

Implementing Effective Waste Management Strategies

Waste management is a critical aspect of maintaining a safe and environmentally friendly healthcare facility. Implementing effective waste management strategies not only helps to prevent the spread of infections but also reduces the organization’s environmental footprint. By adopting best practices for waste segregation, handling, and disposal, healthcare facilities can minimize risks and ensure compliance with regulatory standards.

Proper Segregation and Disposal of Medical Waste

One of the key components of effective waste management is the proper segregation and disposal of medical waste. This involves separating different types of waste, such as sharps, infectious materials, and pharmaceuticals, into designated containers[4]. Clearly labeled and color-coded bins should be readily available in all clinical areas to facilitate accurate waste segregation at the point of generation. Staff training and regular audits are essential to ensure consistent adherence to waste segregation protocols.

Pros and Cons of Proper Waste Segregation
Pros Cons
Reduces the risk of infections Requires staff training and compliance
Facilitates appropriate treatment and disposal Increases operational costs
Ensures regulatory compliance Requires dedicated storage space

Reducing, Reusing, and Recycling Practices

Implementing the principles of reducing, reusing, and recycling can significantly minimize the amount of waste generated in healthcare facilities. This involves adopting practices such as using reusable medical devices when appropriate, donating unused medical supplies, and recycling non-hazardous materials[5]. By reducing waste at the source and promoting the circular economy, healthcare organizations can not only lower their environmental impact but also realize cost savings.

Safe Handling and Transportation of Hazardous Waste

Hazardous waste, such as chemicals and pharmaceuticals, requires special handling and transportation procedures to prevent environmental contamination and protect public health. Healthcare facilities must establish protocols for the safe collection, packaging, labeling, and transportation of hazardous waste in compliance with local, state, and federal regulations[6]. Partnering with licensed and reputable waste management companies ensures that hazardous waste is disposed of properly and in an environmentally responsible manner.

Warning
Improper handling and disposal of hazardous waste can lead to serious environmental and health consequences, as well as legal and financial liabilities for healthcare facilities.

Staff Training and Education on Waste Management Protocols

Effective waste management relies heavily on the knowledge and commitment of healthcare staff. Providing comprehensive training and education on waste management protocols is crucial to ensure consistent implementation and compliance. Regular training sessions should cover topics such as waste segregation, handling procedures, and the importance of adhering to environmental regulations. Ongoing education and awareness campaigns can help foster a culture of environmental responsibility within the organization.

Enhancing Indoor Air Quality

Indoor air quality (IAQ) is a crucial factor in maintaining a healthy and safe environment within healthcare facilities. Poor IAQ can contribute to the spread of airborne infections, exacerbate respiratory conditions, and negatively impact the well-being of patients, staff, and visitors. Implementing strategies to enhance indoor air quality is essential for promoting better health outcomes and ensuring compliance with regulatory standards.

Ventilation and Filtration Systems

Effective ventilation and filtration systems are the foundation of maintaining optimal indoor air quality in healthcare settings. These systems help to remove airborne contaminants, such as microorganisms, particulate matter, and volatile organic compounds (VOCs), from the indoor environment[7]. Regular maintenance, including filter replacements and duct cleaning, is essential to ensure the proper functioning of ventilation systems and prevent the accumulation of pollutants.

Did You Know?
High-efficiency particulate air (HEPA) filters can remove at least 99.97% of airborne particles that are 0.3 microns in diameter or larger.

Infection Control Measures

Implementing effective infection control measures is crucial for minimizing the transmission of airborne pathogens in healthcare facilities. This includes practices such as isolating infected patients, using personal protective equipment (PPE), and following proper hand hygiene protocols[8]. Additionally, the use of ultraviolet germicidal irradiation (UVGI) systems can help to inactivate airborne microorganisms and reduce the risk of nosocomial infections.

Common Airborne Pathogens in Healthcare Settings
Pathogen Mode of Transmission Associated Diseases
1 Influenza virus Droplet Influenza
2 Mycobacterium tuberculosis Airborne Tuberculosis
3 Measles virus Airborne Measles

Monitoring and Testing Indoor Air Quality

Regular monitoring and testing of indoor air quality are essential for identifying potential issues and ensuring compliance with environmental standards. This involves using specialized equipment to measure various parameters, such as temperature, humidity, and the concentration of specific pollutants[9]. By establishing a comprehensive IAQ monitoring program, healthcare facilities can proactively detect and address air quality issues before they become significant health concerns.

Green Cleaning Practices

Adopting green cleaning practices can significantly improve indoor air quality by reducing the use of harsh chemicals and minimizing the emission of volatile organic compounds (VOCs). This involves using environmentally friendly cleaning products, implementing proper ventilation during cleaning activities, and training staff on safe and effective cleaning techniques. By embracing green cleaning practices, healthcare facilities can create a healthier environment for patients, staff, and visitors while also promoting sustainability.

Promoting Water Conservation and Quality

Water is a precious resource that plays a vital role in the daily operations of healthcare facilities. From patient care and sanitation to equipment sterilization and landscaping, water is essential for maintaining a safe and functional healthcare environment. Promoting water conservation and ensuring water quality are crucial for reducing environmental impact, lowering operational costs, and protecting public health.

Water Conservation Strategies

Implementing water conservation strategies is an effective way to reduce water consumption and minimize the strain on local water resources. This can include installing low-flow plumbing fixtures, such as faucets, toilets, and showerheads, which can significantly reduce water usage without compromising functionality[10]. Additionally, implementing water-efficient landscaping practices, such as using drought-resistant plants and optimizing irrigation systems, can help to conserve water in outdoor spaces.

Did You Know?
Installing low-flow plumbing fixtures can reduce water consumption by up to 30% in healthcare facilities.

Leak Detection and Repair

Leaks in plumbing systems can lead to significant water waste and potentially damage healthcare facilities. Implementing a comprehensive leak detection and repair program is essential for identifying and addressing water leaks promptly. This involves regularly inspecting plumbing fixtures, pipes, and equipment for signs of leaks and conducting timely repairs[11]. By proactively addressing water leaks, healthcare facilities can conserve water, prevent damage, and avoid costly repairs.

Water Quality Monitoring and Treatment

Ensuring the quality of water used in healthcare facilities is crucial for protecting patient health and preventing waterborne infections. Regular water quality monitoring and testing should be conducted to detect the presence of contaminants, such as bacteria, viruses, and chemical pollutants. In addition to monitoring, implementing appropriate water treatment methods, such as filtration, disinfection, and reverse osmosis, can help to maintain water quality and ensure compliance with regulatory standards[12].

Water Quality Parameters and Testing Frequency
Parameter Testing Frequency
Total coliform bacteria Monthly
Legionella Quarterly
Lead and copper Annually

Staff Education and Awareness

Promoting water conservation and quality in healthcare facilities requires the active participation and support of staff members. Providing education and awareness programs on water conservation practices, leak detection, and the importance of water quality can help to foster a culture of environmental stewardship within the organization. By engaging staff in water conservation efforts and encouraging the reporting of water-related issues, healthcare facilities can effectively manage their water resources and minimize environmental impact.

Adopting Sustainable Energy Solutions

Healthcare facilities are significant consumers of energy, with a substantial carbon footprint that contributes to environmental challenges. Adopting sustainable energy solutions is crucial for reducing greenhouse gas emissions, lowering operational costs, and demonstrating environmental leadership. By implementing energy-efficient technologies and exploring renewable energy options, healthcare organizations can minimize their environmental impact while ensuring a reliable and resilient energy supply.

Energy Efficiency Measures

Implementing energy efficiency measures is a key strategy for reducing energy consumption and associated costs in healthcare facilities. This can include upgrading to energy-efficient lighting systems, such as LED bulbs, which consume less electricity and have a longer lifespan compared to traditional lighting options. Additionally, optimizing heating, ventilation, and air conditioning (HVAC) systems through regular maintenance, temperature setbacks, and the use of smart controls can significantly reduce energy waste[13].

Did You Know?
Hospitals can save up to 30% on their energy bills by implementing energy efficiency measures.

Renewable Energy Integration

Integrating renewable energy sources into healthcare facilities’ energy mix is an effective way to reduce reliance on fossil fuels and lower carbon emissions. Solar photovoltaic (PV) systems, which convert sunlight into electricity, can be installed on rooftops or as ground-mounted arrays to generate clean energy on-site. Additionally, geothermal heating and cooling systems, which utilize the stable temperature of the earth, can provide efficient and renewable space conditioning[14]. By adopting renewable energy technologies, healthcare facilities can hedge against rising energy costs and contribute to a more sustainable future.

Energy Monitoring and Management Systems

Implementing energy monitoring and management systems is essential for tracking energy consumption, identifying inefficiencies, and optimizing energy performance in healthcare facilities. These systems use advanced sensors, meters, and software to collect and analyze energy data in real-time, providing valuable insights into energy usage patterns and opportunities for improvement[15]. By leveraging energy monitoring and management systems, healthcare organizations can make data-driven decisions, set energy reduction targets, and continuously monitor progress towards sustainability goals.

Benefits of Sustainable Energy Solutions in Healthcare
Benefit Description
Cost savings Reduced energy expenditures through efficiency measures and renewable energy integration
Environmental stewardship Lower carbon footprint and contribution to climate change mitigation efforts
Resilience Enhanced energy security and reliability through on-site renewable energy generation
Community leadership Demonstrating commitment to sustainability and inspiring others to adopt sustainable practices

Staff Engagement and Behavioral Change

Engaging healthcare staff in sustainable energy practices is crucial for driving behavioral change and maximizing the impact of energy conservation efforts. This can involve providing education and training on energy-saving techniques, such as turning off lights and equipment when not in use, and encouraging staff to share ideas for improving energy efficiency. By fostering a culture of energy awareness and empowering staff to take action, healthcare facilities can achieve significant energy savings and create a more sustainable work environment.

Implementing Green Cleaning Practices

Green cleaning practices are an essential component of sustainable healthcare operations, as they prioritize the use of environmentally friendly cleaning products and methods to minimize the impact on human health and the environment. By adopting green cleaning practices, healthcare facilities can reduce exposure to harmful chemicals, improve indoor air quality, and contribute to a healthier environment for patients, staff, and visitors.

Environmentally Friendly Cleaning Products

Transitioning to environmentally friendly cleaning products is a key aspect of implementing green cleaning practices in healthcare facilities. Traditional cleaning products often contain harsh chemicals that can have negative impacts on human health and the environment. By selecting cleaning products that are biodegradable, free of toxic chemicals, and certified by reputable environmental organizations, such as Green Seal or EcoLogo, healthcare facilities can reduce their ecological footprint and create a safer environment[16].

Did You Know?
Using green cleaning products can reduce the risk of respiratory irritation, allergic reactions, and other health problems associated with exposure to harmful chemicals.

Sustainable Cleaning Methods and Equipment

In addition to using environmentally friendly cleaning products, adopting sustainable cleaning methods and equipment can further enhance the effectiveness of green cleaning practices. This can include using microfiber mops and cloths, which require less water and cleaning solution compared to traditional materials, and implementing high-efficiency particulate air (HEPA) filtration systems on vacuum cleaners to improve indoor air quality.Additionally, utilizing chemical-free cleaning methods, such as steam cleaning or ionized water systems, can minimize the need for harsh chemicals while maintaining a high level of cleanliness[17].

Staff Training and Education

Providing comprehensive training and education to healthcare staff is crucial for the successful implementation of green cleaning practices. Cleaning personnel should be trained on the proper use and handling of environmentally friendly cleaning products, as well as sustainable cleaning methods and equipment. By educating staff on the benefits of green cleaning and empowering them to adopt environmentally responsible practices, healthcare facilities can foster a culture of sustainability and ensure the consistent application of green cleaning principles[18].

Key Components of Green Cleaning in Healthcare
Component Description
Environmentally friendly products Cleaning products that are biodegradable, non-toxic, and certified by environmental organizations
Sustainable methods and equipment Cleaning techniques and tools that minimize water usage, improve air quality, and reduce the need for chemicals
Staff training and education Comprehensive training programs to ensure proper implementation and adherence to green cleaning practices
Continuous improvement Regular evaluation and adjustment of green cleaning practices based on performance and emerging technologies

Measuring the Impact of Green Cleaning

To ensure the effectiveness of green cleaning practices and continuously improve sustainability efforts, healthcare facilities should establish metrics and monitoring systems to measure the impact of their initiatives. This can include tracking the reduction in chemical usage, evaluating improvements in indoor air quality, and assessing the health and satisfaction of patients and staff. By regularly measuring and reporting on the success of green cleaning practices, healthcare organizations can demonstrate their commitment to sustainability and make data-driven decisions to optimize their environmental performance.

Engaging Staff and Stakeholders

Engaging staff and stakeholders is a critical component of successfully implementing sustainable practices in healthcare facilities. By involving employees, patients, and the community in sustainability initiatives, healthcare organizations can foster a culture of environmental responsibility, drive behavior change, and achieve long-lasting results. Effective engagement strategies include raising awareness, providing education and training, and encouraging active participation in sustainability efforts.

Employee Engagement and Education

Engaging healthcare staff is essential for the success of sustainability initiatives, as they play a vital role in the day-to-day operations of the facility. Providing comprehensive education and training programs on sustainable practices, such as waste reduction, energy conservation, and green cleaning, can empower employees to make environmentally responsible choices in their work[19]. Encouraging staff to share ideas and feedback on sustainability efforts can also foster a sense of ownership and commitment to environmental stewardship.

Did You Know?
Engaged employees are more likely to adopt sustainable behaviors and contribute to the success of environmental initiatives.

Patient and Visitor Engagement

Engaging patients and visitors in sustainability efforts is an important aspect of promoting environmental responsibility in healthcare facilities. This can involve providing educational materials on sustainable practices, such as proper waste disposal and energy conservation, and encouraging patients and visitors to make environmentally friendly choices during their stay. By raising awareness and involving patients and visitors in sustainability initiatives, healthcare organizations can extend the impact of their efforts beyond the facility and into the community[20].

Community Outreach and Partnerships

Engaging the wider community in sustainability efforts is crucial for demonstrating environmental leadership and driving positive change. Healthcare facilities can collaborate with local organizations, schools, and government agencies to promote sustainable practices and raise awareness about environmental issues. Partnering with suppliers and vendors that prioritize sustainability can also help to extend the impact of environmental initiatives throughout the supply chain[21].

Strategies for Engaging Staff and Stakeholders in Sustainability
Strategy Description
Education and training Providing comprehensive programs to educate staff and stakeholders on sustainable practices
Communication and awareness Regularly communicating sustainability initiatives and progress through various channels
Recognition and rewards Acknowledging and incentivizing staff and stakeholders who demonstrate commitment to sustainability
Feedback and participation Encouraging staff and stakeholders to share ideas and actively participate in sustainability efforts

Measuring and Communicating Progress

Regularly measuring and communicating the progress of sustainability initiatives is essential for maintaining engagement and demonstrating the impact of environmental efforts. Healthcare facilities should establish key performance indicators (KPIs) to track the success of their sustainability programs and share results with staff, patients, and the community. By celebrating achievements and transparently reporting on challenges, healthcare organizations can maintain momentum and support for their sustainability journey.

Measuring Progress and Continuous Improvement

Measuring progress and implementing continuous improvement strategies are essential for the long-term success of sustainability initiatives in healthcare facilities. By establishing key performance indicators (KPIs), regularly monitoring and analyzing data, and setting targets for improvement, healthcare organizations can ensure that their sustainability efforts are effective, efficient, and aligned with their overall goals. Continuous improvement also involves learning from best practices, adapting to new technologies and regulations, and fostering a culture of innovation and excellence.

Establishing Key Performance Indicators

To effectively measure progress towards sustainability goals, healthcare facilities must establish a set of key performance indicators (KPIs) that are relevant, measurable, and aligned with their specific objectives. These KPIs can include metrics such as energy consumption, water usage, waste generation, and greenhouse gas emissions[22]. By regularly tracking and reporting on these indicators, healthcare organizations can assess the impact of their sustainability initiatives and identify areas for improvement.

Did You Know?
Establishing and monitoring KPIs can help healthcare facilities reduce costs, increase efficiency, and demonstrate environmental leadership.

Data Collection and Analysis

Accurate and comprehensive data collection is crucial for measuring progress and informing decision-making in sustainability efforts. Healthcare facilities should implement robust data management systems to track and analyze sustainability metrics, such as energy and water consumption, waste generation, and procurement data. By leveraging data analytics tools and techniques, healthcare organizations can gain valuable insights into their environmental performance, identify trends and patterns, and prioritize areas for improvement[23].

Setting Targets and Action Plans

Based on the analysis of sustainability data and the identification of improvement opportunities, healthcare facilities should set ambitious yet achievable targets for their sustainability initiatives. These targets can be short-term, medium-term, or long-term, depending on the complexity and scale of the initiatives. To ensure that targets are met, healthcare organizations should develop detailed action plans that outline specific strategies, timelines, and responsibilities for implementation[24].

Elements of Continuous Improvement in Healthcare Sustainability
Element Description
Benchmarking Comparing sustainability performance against industry standards and best practices
Innovation Exploring and adopting new technologies and strategies to enhance sustainability efforts
Stakeholder feedback Seeking input and insights from staff, patients, and the community to inform improvement initiatives
Transparency Regularly communicating progress, challenges, and lessons learned to maintain accountability and support

Continuous Improvement and Adaptation

Continuous improvement is an ongoing process that requires healthcare facilities to remain agile, adaptable, and committed to excellence in sustainability. This involves regularly reviewing and adjusting sustainability strategies based on performance data, emerging best practices, and changes in regulations or technologies. By fostering a culture of continuous improvement and encouraging innovation and collaboration, healthcare organizations can drive long-term success in their sustainability efforts and contribute to a healthier, more resilient future.

Frequently Asked Questions

Implementing sustainable practices in healthcare facilities can lead to numerous benefits, including reduced environmental impact, cost savings through energy and resource efficiency, improved patient and staff health and well-being, enhanced reputation and competitiveness, and compliance with regulations and standards.

Healthcare facilities can reduce their energy consumption by conducting energy audits, upgrading to energy-efficient equipment and lighting, optimizing HVAC systems, implementing energy management systems, and promoting energy-saving behaviors among staff and patients.

Sustainable waste management practices in healthcare include implementing waste segregation and recycling programs, reducing single-use items, properly disposing of hazardous and pharmaceutical waste, composting organic waste, and partnering with waste management companies that prioritize sustainability.

Healthcare facilities can conserve water resources by conducting water audits, installing low-flow plumbing fixtures, implementing water-efficient landscaping, capturing and reusing rainwater or greywater, and promoting water-saving behaviors among staff and patients.

Green cleaning practices in healthcare facilities involve using environmentally friendly cleaning products, adopting sustainable cleaning methods and equipment, providing staff training on green cleaning protocols, and monitoring the impact of these practices on indoor air quality and occupant health.

Healthcare facilities can engage staff and stakeholders in sustainability efforts by providing education and training programs, communicating sustainability initiatives and progress, recognizing and rewarding sustainable behaviors, encouraging feedback and participation, and collaborating with community partners and suppliers that prioritize sustainability.

Key performance indicators for measuring sustainability progress in healthcare facilities can include energy consumption, water usage, waste generation, greenhouse gas emissions, procurement of sustainable products, and employee and patient engagement in sustainability initiatives. These KPIs should be regularly monitored, analyzed, and reported to track progress and identify areas for improvement.

Reference list

  1. Eckelman, M. J., & Sherman, J. (2016). Environmental impacts of the U.S. health care system and effects on public health. PLOS ONE, 11(6), e0157014.
  2. Kaplan, S., Sadler, B., Little, K., Franz, C., & Orris, P. (2012). Can sustainable hospitals help bend the health care cost curve? The Commonwealth Fund, 29, 1-14.
  3. Dhillon, V. S., & Kaur, D. (2015). Green hospital and climate change: Their interrelationship and the way forward. Journal of Clinical and Diagnostic Research, 9(12), LE01-LE05.
  4. Thiel, C. L., Eckelman, M., Guido, R., Huddleston, M., Landis, A. E., Sherman, J., … & Bilec, M. M. (2015). Environmental impacts of surgical procedures: Life cycle assessment of hysterectomy in the United States. Environmental Science & Technology, 49(3), 1779-1786.
  5. Kagoma, Y., Stall, N., Rubinstein, E., & Naudie, D. (2012). People, planet and profits: The case for greening operating rooms. Canadian Medical Association Journal, 184(17), 1905-1911.
  6. Kwakye, G., Brat, G. A., & Makary, M. A. (2011). Green surgical practices for health care. Archives of Surgery, 146(2), 131-136.
  7. McGain, F., & Naylor, C. (2014). Environmental sustainability in hospitals – a systematic review and research agenda. Journal of Health Services Research & Policy, 19(4), 245-252.
  8. Eckelman, M. J., Mosher, M., Gonzalez, A., & Sherman, J. D. (2012). Comparative life cycle assessment of disposable and reusable laryngeal mask airways. Anesthesia & Analgesia, 114(5), 1067-1072.
  9. McGain, F., Story, D., Lim, T., & McAlister, S. (2017). Financial and environmental costs of reusable and single-use anaesthetic equipment. British Journal of Anaesthesia, 118(6), 862-869.
  10. Campion, N., Thiel, C. L., DeBlois, J., Woods, N. C., Landis, A. E., & Bilec, M. M. (2012). Life cycle assessment perspectives on delivering an infant in the US. Science of The Total Environment, 425, 191-198.
  11. Sherman, J., Le, C., Lamers, V., & Eckelman, M. (2012). Life cycle greenhouse gas emissions of anesthetic drugs. Anesthesia & Analgesia, 114(5), 1086-1090.
  12. Senay, E., & Landrigan, P. J. (2018). Assessment of environmental sustainability and performance in hospitals: A framework for evaluation. JAMA Network Open, 1(6), e183604.
  13. Pollard, A. S., Paddle, J. J., Taylor, T. J., & Tillyard, A. (2014). The carbon footprint of acute care: How energy intensive is critical care? Public Health, 128(9), 771-776.
  14. Unahalekhaka, A., & Khandelwal, M. (2014). Green hospital, a necessity in the 21st century. Journal of Medical Science and Clinical Research, 2(11), 2968-2971.
  15. Bawaneh, K., Ghazi Nezami, F., Rasheduzzaman, M., & Deken, B. (2019). Energy consumption analysis and characterization of healthcare facilities in the United States. Energies, 12(19), 3775.
  16. Esmaeili, A., Twomey, J. M., Overcash, M. R., Soltani, S. A., McGuire, C., & Ali, K. (2015). Scope for energy improvement for hospital imaging services in the USA. Journal of Health Services Research & Policy, 20(2), 67-73.
  17. Ramli, N. A., & Munisamy, S. (2015). Eco-efficiency in greenhouse gas emissions among manufacturing industries: A range adjusted measure. Sustainability, 7(4), 4256-4273.
  18. Faezipour, M., & Ferreira, S. (2013). A system dynamics perspective of patient satisfaction in healthcare. Procedia Computer Science, 16, 148-156.
  19. Azmal, M., Kalhor, R., Dehcheshmeh, N. F., Goharinezhad, S., Heidari, Z. A., & Farzianpour, F. (2014). Going toward green hospital by sustainable healthcare waste management: Segregation, treatment and safe disposal. Health, 6(19), 2632-2640.
  20. Dunphy, J. L. (2014). Healthcare professionals’ perspectives on environmental sustainability. Nursing Outlook, 62(6), 462-469.
  21. Cavicchi, C., & Vagnoni, E. (2017). Does intellectual capital promote the shift of healthcare organizations towards sustainable development? Evidence from Italy. Journal of Cleaner Production, 153, 275-286.
  22. Unger, S. R., Campion, N., Bilec, M. M., & Landis, A. E. (2016). Evaluating quantifiable metrics for hospital green checklists. Journal of Cleaner Production, 127, 134-142.
  23. Ryan-Fogarty, Y., O’Regan, B., & Moles, R. (2016). Greening healthcare: Systematic implementation of environmental programmes in a university teaching hospital. Journal of Cleaner Production, 126, 248-259.
  24. Sahamir, S. R., & Zakaria, R. (2014). Green assessment criteria for public hospital building development in Malaysia. Procedia Environmental Sciences, 20, 106-115.

  • Dr. James A. Underberg MS, MD, FACPM, FACP, FNLA_ava
    Medical writer and editor

    Dr. James A. Underberg, MS, MD, FACPM, FACP, FNLA, is a renowned expert in cholesterol, hypertension, and preventive cardiovascular medicine. As a board-certified lipidologist, he excels in providing innovative care and solutions in cardiovascular health. Dr. Underberg is a Clinical Assistant Professor of Medicine at NYU Medical School, where he influences future medical professionals and focuses on preventive cardiovascular medicine. He contributes to Medixlife.com, sharing his insights and research. A Yale University graduate, Dr. Underberg earned his medical degree from the University of Pennsylvania and completed his training at Bellevue Hospital Medical Center. He holds multiple certifications, including as a Clinical Hypertension Specialist and Menopause Practitioner. As founder and President of the New York Preventive Cardiovascular Society, he promotes community engagement in cardiovascular health. His practice, recognized by the American Heart Association, reflects his commitment to excellence in patient care. Dr. Underberg is actively involved in clinical trials, enhancing his practice with cutting-edge research.

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