Anaesthetics Department, Austin Health, Heidelberg, VIC 3084, Australia.
Department of Critical Care, School of Medicine, University of Melbourne, Parkville, VIC 3010, Australia.
Int J Environ Res Public Health. 2023 Feb 23;20(5):3978. doi: 10.3390/ijerph20053978.
Hospitals are the largest greenhouse gas producers within the Australian healthcare sector due to the large amounts of energy, resource utilization, equipment and pharmaceuticals required to deliver care. In order to reduce healthcare emissions, healthcare services must take multiple actions to address the broad range of emissions produced when delivering patient care. The goal of this study was to seek consensus on the priority actions needed to reduce the environmental impact of a tertiary Australian hospital. A nominal group technique was utilized within a multidisciplinary, executive-led environmental sustainability committee to find consensus on the 62 proposed actions to reduce the environmental impact of a tertiary Australian hospital. Thirteen participants joined an online workshop during which an educational presentation was delivered, 62 potential actions were privately ranked according to two domains of 'amenability to change' and 'scale of climate impact' and a moderated group discussion ensued. The group achieved verbal consensus on 16 actions that span staff education, procurement, pharmaceuticals, waste, transport and advocacy on all-electric capital works upgrades. In addition, the individual ratings of potential actions according to each domain were ranked and shared with the group. Despite a large number of actions and varied perspectives within the group, the nominal group technique can be used to focus a hospital leadership group on priority actions to improve environmental sustainability.
由于提供医疗服务需要大量的能源、资源利用、设备和药品，医院是澳大利亚医疗保健部门中最大的温室气体排放者。为了减少医疗保健排放，医疗服务必须采取多种行动，解决在提供患者护理时产生的广泛排放。本研究的目的是就减少一家澳大利亚三级医院环境影响所需的优先行动寻求共识。在一个多学科、执行领导的环境可持续性委员会中，使用名义小组技术来就减少一家澳大利亚三级医院环境影响的 62 项拟议行动达成共识。13 名参与者参加了一个在线研讨会，会上进行了一次教育演讲，根据“可改变性”和“气候影响规模”这两个领域对 62 项潜在行动进行了私下排名，并随后进行了小组讨论。该小组就跨越员工教育、采购、药品、废物、运输和倡导全电动资本工程升级的 16 项行动达成了口头共识。此外，根据每个领域对潜在行动的个人评级进行了排名，并与小组分享。尽管小组内有大量的行动和不同的观点，但名义小组技术可用于集中医院领导层的注意力，以优先采取行动来提高环境可持续性。
