Abstract
Every decision made by a healthcare team has first a patient-centered impact on health and second a cascading downstream (outside the hospital due to burning of fuels to make electricity) impact on that same patient’s public or cumulative health. Thus, each patient-care decision has a resulting environmental shadow of energy (in this chapter, we focus on the environmental health threats associated with energy use, while fully realizing there are an array of other adverse impacts on health such as water use) and material use that create the secondary or unintended (and potentially suboptimal) impact on patients and the community through the environment (air, water, and land).
Now it may be time for the healthcare community to explicitly understand and begin to incorporate the environment into their patient-centered decision analysis. The medical focus on the patient sitting in front of the healthcare provider must include (1) how will the patient benefit from the health decisions made by healthcare professional, but (2) also how will the patient and the community be impacted by the indirect or cascading impact from the environment born from those same healthcare decisions? This chapter defines a new avenue for healthcare energy and cost improvement, initiated as full conceptual approach at Wichita State University in 2012 (sponsored by the National Science Foundation). This new concept is referred to as energy improvement in patient-centered and downstream care.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
American Society for Healthcare Engineering of the American Hospital Association (n.d.) http://www.ashe.org. Accessed 30 Jan 2018
Association of Surgeons of Great Britain and Ireland (2011) Consensus statement on cost-effective surgery. London, 20p
Campion N, Thiel CL, DeBlois J, Woods NC, Landis AE, Bilec MM (2012) Life cycle assessment perspectives on delivering an infant in the US. Sci Total Environ 425:191–198
Connor A, Mortimer F, Tomson C (2010) Clinical transformation: the key to green nephrology. Nephron Clin Pract 116(3):c200–c205
Harper L (2014) We should start to quantify the environmental impact of different treatments. Br Med J 348:g1997. https://doi.org/10.1136/bmj.g1997
Harris DD, Joseph A, Becker F, Hamilton K, Shepley MM, Zimring C (2008) A practitioner’s guide to evidence based design. The Center for Health Design, Concord
Healthcare Engineering Alliance (n.d.) https://www.purdue.edu/discoverypark/rche/partners/hsea.php. Accessed 30 Jan 2018
MacNeill A, Lillywhite R, Brown C (2017) The impact of surgery on global climate: a carbon footprinting study of operating theatres in three health systems. Lancet Planet Health 1:e381–e388. https://doi.org/10.1016/S2542-5196(17)30162-6
Overcash M (2012) Comparison of reusable and disposable perioperative textiles. Anesth Analg 114(5):1055–1066
Overcash M, Twomey J (2012) Medical-based energy—new concept in hospital sustainability improvement. Paper presented at the NSF Workshop on Patients, Energy, and Sustainability—The Model of Decision-Making for Lower Healthcare Footprints, Wichita State University, 15–16 May 2012
Overcash M, Twomey J (2013) Green surgery—concept for the profession. Association of Surgeons of Great Britain and Ireland, 41, pp 10–12
Practice Greenhealth (2011) Best practices in energy efficiency. https://practicegreenhealth.org/topics/energy-water-and-climate/energy/best-practices-energy-efficiency. Accessed 30 Jan 2018
Schulte P, Heidel D (2009) Prevention through design. National Institute for Occupational Safety and Health. http://www.cdc.gov/niosh/programs/PtDesign. Accessed 30 Jan 2018
Sherman J, Le C, Lamers V, Eckelman M (2012) Life cycle greenhouse gas emissions of anesthetic drugs. Anesth Analg 114(5):1086–1090
Soltani SA, Overcash MR, Twomey JM, Esmaeili MA, Yildirim B (2015) Hospital patient-care and outside-the-hospital energy profiles for hemodialysis services. J Ind Ecol 19(3):504–513
Twomey J, Overcash M, Soltani S (2012) Life cycle for engineering the healthcare service delivery of imaging. In: Dornfeld D, Linke B (eds) Leveraging technology for a sustainable world. Springer, Berlin, Heidelberg
U.S. EPA (2005) Profile of the healthcare industry. EPA/310-R-05-002, Office of Enforcement and Compliance Assurance, Washington, DC
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Twomey, J., Overcash, M. (2020). Healthcare Teams Can Give Quality Patient Care, but at Lower Environmental Impact: Patient-Centered Sustainability. In: Smith, A. (eds) Women in Industrial and Systems Engineering. Women in Engineering and Science. Springer, Cham. https://doi.org/10.1007/978-3-030-11866-2_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-11866-2_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-11865-5
Online ISBN: 978-3-030-11866-2
eBook Packages: EngineeringEngineering (R0)