Green synthesis of hospital enterprise network

Assessing the carbon footprint of digital health interventions: a scoping review

“…Most studies ( n = 8, 62%) focused on using tools to estimate travel-related carbon emissions in the context of telehealth in healthcare. 27–29 , 31 , 33–35 , 37 The remaining studies adapted the tools to examine the impact of EHRs ( n = 2, 15%), 32 , 36 e-prescriptions and e-referrals ( n = 1, 8%), 30 and robotic surgery ( n = 1, 8%). 38 One study was a scoping review focused on health technology, inclusive of EMR.…”

“… 38 One study was a scoping review focused on health technology, inclusive of EMR. 11 The studies examined came from the United Kingdom ( n = 3, 23%), 27–29 United States ( n = 3, 23%), 35 , 36 , 38 Spain ( n = 2, 15%), 32 , 37 Canada ( n = 1, 8%), 11 Croatia ( n = 1, 8%), 30 France ( n = 1, 8%), 31 Kuwait ( n = 1, 8%), 33 and Sweden ( n = 1, 8%). 34 Most of the studies examined an outpatient context ( n = 5, 38%), 27–29 , 31 , 35 followed by hospital settings ( n = 3, 23%), 30 , 38 a rehabilitation unit ( n = 1, 8%), 34 a single healthcare system ( n = 1, 8%), 36 and primary care ( n = 1, 8%).…”

“…The study designs included retrospective audits ( n = 6, 46%), 27 , 28 , 34 , 35 , 37 , 38 prospective studies ( n = 2, 15%), 29 , 31 a case report ( n = 1, 8%), 32 a case study ( n = 1, 8%), 36 a methods study ( n = 1, 8%), 30 a scoping review ( n = 1, 8%), 11 and a simulation study ( n = 1, 8%). 33 The sampling methods implemented were mostly purposive ( n = 10, 77%), 27–29 , 31 , 32 , 34–38 followed by simulation modeling ( n = 1, 8%), 33 theoretical sampling ( n = 1, 8%), 30 and one, a scoping review used database mining ( n = 1, 8%). 11 The outcomes measured for DHT environmental impact included carbon dioxide equivalent ( n = 10, 77%), 27–31 , 33–37 energy consumption ( n = 6, 46%), 27 , 28 , 31 , 32 , 34 , 36 other greenhouse gas emissions ( n = 4, 31%), 33 , 35–37 waste and toxic chemicals ( n = 2, 15%), 35 , 36 materials (eg, paper, X-ray-related consumables, fuel) ( n = 2, 15%), 35 , 36 water consumption ( n = 2, 15%), 27 , 36 and other environmental considerations (eg, trees to be planted to offset emissions) ( n = 2, 15%).…”

“…The FEETINGS and associated guidelines, that target software engineers to prospectively consider energy efficiency of their software in the context of environmental sustainability, was publicly accessible. 39 Habib and Marimuthu 33 also focused on telehealth, took an approach called “the green synthesis” framework to develop a capacity planning tool to prospectively optimise energy consumption of an IT system through algorithmics. This provides an avenue for the prospective design of energy-efficient telehealth services inclusive of EMR use.…”

“…This provides an avenue for the prospective design of energy-efficient telehealth services inclusive of EMR use. 33 …”