Safety, quality & education

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Br J SurgPublished Systematic review and Delphi consensus co-prioritization study

An erratum to this article was published (Br J Surg, 9 Nov 2023 ↗)

Authors' conclusion

This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high- and low-middle-income countries.

Study context

Population
Perioperative healthcare professionals and patients; interventions to reduce the environmental impact of operating theatres
Participants
3,042 perioperative professionals
Outcome
Prioritized feasible interventions to reduce the environmental impact of operating theatres
Methodological detailsfour-phase Delphi consensus, global consultation of perioperative healthcare professionals, patient and clinician co-prioritization
  • Four-phase Delphi consensus
  • Global consultation of perioperative healthcare professionals
  • Patient and clinician co-prioritization

Recommendations

As reported in the abstract

Prioritized interventions

Interventions identified (phase 1), with low uptake in practice

43

Shortlisted intervention domains (phase 2)

15

Further findings

Patient acceptability (phase 3)

Interventions acceptable to patients, except reducing GA and re-sterilization of 'single-use' consumables
more than 90 per cent
Reducing GA acceptable
84 per cent
Re-sterilization of 'single-use' consumables acceptable
86 per cent

Original publication

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries. Br J Surg. Published 20 April 2023. doi:10.1093/bjs/znad092

Composed by AI from the published abstract and checked against it. How Briefs are made →

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