Transition to Reusable Surgical Gowns at a Hospital System

Yap, Ava; Wang, Kaiyi; Cornejo, John; Chen, Evan; Pierce, Logan; Wick, Elizabeth; Gandhi, Seema

doi:10.1001/jamanetworkopen.2023.30246

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…Furthermore, deployment of reusable gowns at large US medical centres resulted in diverting hundreds of tons of landfill waste and creating cost savings of nearly 50% per gown, saving millions of dollars over years with no impact on infection rates 222324. Similarly, pilot studies in a US tertiary hospital system showed a transition to reusable surgical gowns would be feasible and safe, and would reduce waste and costs 25…”

Section: Evidence For the Solutionmentioning

confidence: 99%

Switching from disposable to reusable PPE

Bromley-Dulfano,

Chan,

Jain

et al. 2024

BMJ

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Section: Evidence For the Solutionmentioning

confidence: 99%

Switching from disposable to reusable PPE

Bromley-Dulfano,

Chan,

Jain

et al. 2024

BMJ

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Needs Assessment for the Development of a Sustainability Curriculum for Surgical Residents

Matthys,

Wang,

Sathe

et al. 2024

Journal of Surgical Education

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Needs Assessment for the Development of a Sustainability Curriculum for Surgical Residents

Matthys,

Wang,

Sathe

et al. 2024

Preprint

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Introduction The healthcare sector accounts for 8.5% of United States (U.S.) greenhouse gas emissions, of which one-third comes from operating rooms (ORs). As a result, there is great interest in decarbonizing the OR and surgical care. However, surgical residents are not routinely educated on the negative environmental impact of surgery or how to reduce it. In this paper, we present a formal needs assessment for a sustainability curriculum geared towards surgical residents. Methods Using the Kern Six-Step Framework for curriculum development, we conducted focus groups with surgical residents to perform a targeted needs assessment on three main topics: 1) the current state of surgical sustainability curricula; 2) resident knowledge regarding the environmental impact of surgery and barriers to sustainable practice; and 3) preferred educational methods and topics within sustainability education. We recorded all focus groups and performed thematic analysis using anonymized transcripts. Results Fourteen residents participated in three focus groups, from which a qualitative analysis revealed four themes. First, surgery residents receive limited formal teaching on the negative environmental impact of surgical care or how to reduce this impact. Second, surgery residents have variable levels of prior education about and interest in sustainability in surgery. Third, several barriers prevent the implementation of sustainable changes in surgical practice, including a lack of institutional initiative, cultural inertia, concerns about workflow efficiency, and limited formal education. Finally, residents prefer to learn about practical ways to reduce waste, specifically through interactive approaches such as quality improvement initiatives. Conclusions Given the increasing importance of sustainability in surgery, there is an urgent need for formal resident education on this topic. This needs assessment provides a valuable foundation for future sustainability curriculum development. Keywords Surgical Sustainability; Surgical Education; Sustainability Curriculum; Needs Assessment; Graduate Medical Education

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Transition to Reusable Surgical Gowns at a Hospital System

Abstract: This quality improvement study investigates the feasibility of transitioning back to reusable surgical gowns at a US tertiary hospital system and projected corresponding cost savings and solid waste reduction.

Cited by 4 publications

References 6 publications

Switching from disposable to reusable PPE

Switching from disposable to reusable PPE

Needs Assessment for the Development of a Sustainability Curriculum for Surgical Residents

Needs Assessment for the Development of a Sustainability Curriculum for Surgical Residents

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