Wrexham Maelor Hospital, Wrexham, UK.
Ysbyty Gwynedd, Bangor, UK.
J Hand Surg Eur Vol. 2023 Nov;48(10):1022-1029. doi: 10.1177/17531934231176952. Epub 2023 May 24.
The primary aim of our study was to assess the environmental impact of moving from a standard to a lean and green model for a carpal tunnel decompression. We objectively measured the clinical waste generated, the number of single use items and the number of sterile instruments required for a standard procedure, and then moved to smaller instrument trays, smaller drapes and fewer disposables. These two models were compared for waste generation, financial costs and carbon footprint. Information prospectively collected on seven patients in the standard model and 103 patients in the lean and green model in two hospitals over a 15-month period, demonstrated a reduction in CO emissions of 80%, clinical waste reduction of 65%, and an average aggregate cost saving of 66%. The lean and green model can deliver a safe, efficient, cost-effective and sustainable service for patients undergoing carpal tunnel decompression. III.
我们研究的主要目的是评估从标准模型转变为精益和绿色模型对腕管减压的环境影响。我们客观地测量了标准手术产生的临床废物、一次性用品的数量和所需的无菌器械的数量，然后使用更小的器械托盘、更小的手术巾单和更少的一次性用品。这两种模型在废物产生、财务成本和碳足迹方面进行了比较。在 15 个月的时间里，在两家医院的 7 名标准模型患者和 103 名精益和绿色模型患者身上前瞻性地收集信息，结果显示 CO 排放量减少了 80%，临床废物减少了 65%，平均综合成本节省了 66%。精益和绿色模型可以为接受腕管减压的患者提供安全、高效、具有成本效益和可持续的服务。III.
