4.6 Article

Design Opportunities to Reduce Waste in Operating Rooms

Journal

SUSTAINABILITY
Volume 13, Issue 4, Pages -

Publisher

MDPI
DOI: 10.3390/su13042207

Keywords

design for sustainability; operating room; design for a circular economy; plastics; waste management; reuse; hospital waste; healthcare waste

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Hospitals generate a large amount of waste while taking care of the population's health, with the operating room responsible for a disproportionately large amount of it. Research conducted in a large hospital found that washable towels and operation instruments are reused, while paper, cardboard, and specific fabrics are recycled. Design opportunities include optimizing recycling and increasing the use of reusables, such as exploring the possibilities of reusing textiles, consumables, and packaging.
While taking care of the population's health, hospitals generate mountains of waste, which in turn causes a hazard to the environment of the population. The operating room is responsible for a disproportionately big amount of hospital waste. This research aims to investigate waste creation in the operating room in order to identify design opportunities to support waste reduction according to the circular economy. Eight observations and five expert interviews were conducted in a large sized hospital. The hospital's waste infrastructure, management, and sterilization department were mapped out. Findings are that washable towels and operation instruments are reused; paper, cardboard, and specific fabric are being recycled; and (non-)hazardous medical waste is being incinerated. Observation results and literature findings are largely comparable, stating that covering sheets of the operation bed, sterile clothing, sterile packaging, and department-specific products are as well the most used and discarded. The research also identified two waste hotspots: the logistical packaging (tertiary, secondary, and primary) of products and incorrect sorting between hazardous and non-hazardous medical waste. Design opportunities include optimization of recycling and increased use of reusables. Reuse is the preferred method, more specifically by exploring the possibilities of reuse of textiles, consumables, and packaging.

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