Abstract

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.

Highlights

  • Hospitals have a significant environmental impact due to their size, energy-intensive processes, consumption of resources, and waste creation [1]

  • Building further upon the identification of the different factors that obstruct the increase of sustainable actions in hospitals, this paper reports on a research project that aims to identify the various design opportunities to support reduction of waste in operating rooms

  • In order to get an answer to all research questions, two types of research activities were executed: (i) Eight observations of operating room waste handling took place to provide an answer to RQs 1–7, and (ii) five expert interviews with other stakeholders in the hospital were executed in order to formulate insights concerning RQs 1, 3, and 6–8

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Summary

Introduction

Hospitals have a significant environmental impact due to their size, energy-intensive processes, consumption of resources, and waste creation [1]. The volume of medical waste increased as a consequence of the worldwide COVID-19 pandemic and the phenomenal need for personal protective material. Each surgery results in large amounts of waste, which mainly consists of single-use products and sterile packaging. To put this into perspective, a routine operation at a hospital produces more waste than a family of four produces in an entire week [4]. The usage of these singleuse products and sterile packaging originates from sterile regulations to prevent the risk of contamination. Single use is considered to be essential to guarantee the critical hygiene

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