Waste generated by health care includes harmful emissions and often disproportionately affects already vulnerable communities. Justly restructuring health care waste management involves better understanding key drivers of waste production, using sustainability as an ethical value to guide disposal decisions and practices, and reducing overall disposal quantity. Restructuring can be facilitated by making existing waste audit data transparent, incorporating waste accounting into social responsibility metrics used to evaluate health care organizational performance, and implementing policies that prioritize frontline workers' safety.The American Medical Association designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™ available through the AMA Ed Hub TM . Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CasePrior to the COVID-19 pandemic, US hospitals produced 29 pounds of waste per bed per day-over 14 000 tons of waste per day. 1 Increasing numbers of clinicians, trainees, and students in a regional university academic health center have anonymously reported (via a hotline maintained by the organization's risk managers) inappropriate disposal of recyclable items, common refuse items, and red bag items (ie, medical waste, hazardous waste). Many students have also noted that applying disinfectant, donning personal protective equipment (eg, masks, gloves, gowns), and using high-volumes of water to thoroughly wash their hands and arms (colloquially known as "scrubbing in") is wasteful when they are seeming sufficiently distant from a sterile field protecting a surgical patient in an operating theater.Health care organizations pay to decontaminate red bag waste to make it safe for disposal (ie, by microwave or steam sterilization, chemical disinfection, or other processes) and must comply with federal, state, and local regulations about how disposal is done. 2,3 Some hotline reporters have noted that incorrect placement of recyclable or municipal waste in red bags incurs unnecessary costs to organizations and that processing (primary) red waste generates (secondary) air-and waterborne emissions that inequitably influence health outcomes in minoritized communities;