Manchester Royal Infirmary, Manchester, UK.
Health Education England North West, Manchester, UK.
BMJ Open. 2023 Mar 28;13(3):e066622. doi: 10.1136/bmjopen-2022-066622.
To agree on the 'top 10' research priorities for environmentally sustainable perioperative practice.
Surveys and literature review; final consensus workshop using a nominal group technique.
UK-based setting.
Healthcare professionals, patients, carers and the public.
Initial survey-suggested research questions; interim survey-shortlist of 'indicative' questions (the 20 most frequently nominated by patients, carers and the public, and healthcare professionals); final workshop-ranked research priorities.
Initial survey-1926 suggestions by 296 respondents, refined into 60 indicative questions. Interim survey-325 respondents. Final workshop-21 participants agreed the 'top 10': (1) How can more sustainable reusable equipment safely be used during and around the time of an operation? (2) How can healthcare organisations more sustainably procure (obtain) medicines, equipment and items used during and around the time of an operation? (3) How can healthcare professionals who deliver care during and around the time of an operation be encouraged to adopt sustainable actions in practice? (4) Can more efficient use of operating theatres and associated practices reduce the environmental impact of operations? (5) How can the amount of waste generated during and around the time of an operation be minimised? (6) How do we measure and compare the short-term and long-term environmental impacts of surgical and non-surgical treatments for the same condition? (7) What is the environmental impact of different anaesthetic techniques (eg, different types of general, regional and local anaesthesia) used for the same operation? (8) How should the environmental impact of an operation be weighed against its clinical outcomes and financial costs? (9) How can environmental sustainability be incorporated into the organisational management of operating theatres? (10) What are the most sustainable forms of effective infection prevention and control used around the time of an operation (eg, personal protective equipment, drapes, clean air ventilation)?
A broad range of 'end-users' have identified research priorities for sustainable perioperative care.
就环境可持续性围手术期实践的“十大”研究重点达成共识。
调查和文献回顾；使用名义群体技术的最终共识研讨会。
英国。
医疗保健专业人员、患者、护理人员和公众。
初步调查建议的研究问题；中期调查-“指示性”问题的简短列表（患者、护理人员和公众以及医疗保健专业人员提名最多的 20 个问题）；最终研讨会-排名研究重点。
初步调查-296 名受访者提出了 1926 条建议，精炼为 60 条指示性问题。中期调查-325 名受访者。最终研讨会-21 名参与者同意“十大”：（1）如何在手术期间和周围安全使用更可持续的可重复使用设备？（2）医疗机构如何更可持续地采购（获得）手术期间和周围使用的药品、设备和物品？（3）如何鼓励在手术期间和周围提供护理的医疗保健专业人员在实践中采取可持续行动？（4）手术室及其相关实践的更高效利用是否可以减少手术的环境影响？（5）如何将手术期间和周围产生的废物量最小化？（6）如何衡量和比较同一疾病的手术和非手术治疗的短期和长期环境影响？（7）用于同一手术的不同麻醉技术（例如，不同类型的全身、区域和局部麻醉）的环境影响如何？（8）如何权衡手术的环境影响与其临床结果和财务成本？（9）如何将环境可持续性纳入手术室的组织管理？（10）手术期间使用的最可持续的有效感染预防和控制形式是什么（例如，个人防护设备、手术巾、清洁空气通风）？
广泛的“最终用户”已经确定了可持续围手术期护理的研究重点。
