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三重底线与稳定楔:围手术期可持续性框架。

The Triple Bottom Line and Stabilization Wedges: A Framework for Perioperative Sustainability.

机构信息

From the Texas A&M College of Medicine, College Station, Texas.

Department of Anesthesiology and Perioperative Care, University of California, San Francisco, San Francisco, California.

出版信息

Anesth Analg. 2022 Mar 1;134(3):475-485. doi: 10.1213/ANE.0000000000005890.

Abstract

We present a narrative review of environmental sustainability aimed at perioperative clinicians. The review will familiarize readers with the triple bottom line framework, which aims to align the goals of delivering high-quality patient care, promoting environmental sustainability, and improving the financial position of health care organizations. We introduce the stabilization wedges model for climate change action adopted for the perioperative setting and discuss areas in which perioperative leaders can make sustainable choices. The goal of this review is to increase awareness among perioperative physicians of the environmental impacts of surgical and anesthetic care, promote engagement with sustainability efforts as a topic of professional concern for our specialty, and inspire new research in perioperative environmental sustainability.

摘要

我们呈现了一篇面向围手术期临床医生的环境可持续性叙事综述。该综述旨在使读者熟悉三重底线框架,该框架旨在协调提供高质量患者护理、促进环境可持续性以及改善医疗机构财务状况的目标。我们介绍了围手术期环境下采用的气候变化行动稳定楔模型,并讨论了围手术期领导者可以做出可持续选择的领域。本次综述的目的是提高围手术期医师对手术和麻醉护理的环境影响的认识,促进将可持续性努力作为我们专业关注的主题参与,并激发围手术期环境可持续性方面的新研究。

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