Utilization of a waste audit at a community hospital emergency department to quantify waste production and estimate environmental impact

Introduction: A waste audit can clarify waste composition and inform improvements in waste disposal, thereby decreasing carbon emissions and reducing costs. The purpose of this study was to conduct a waste audit in the Emergency Department of a suburban community hospital to identify waste content,...

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Autores principales: Sarah Hsu, Swechya Banskota, Winston McCormick, Julia Capacci, Christian Bustamante, Katelyn Moretti, David Wiegn, Kyle Denison Martin
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:a6a42868713c480dbd06639c517a006e2021-11-18T04:53:58ZUtilization of a waste audit at a community hospital emergency department to quantify waste production and estimate environmental impact2667-278210.1016/j.joclim.2021.100041https://doaj.org/article/a6a42868713c480dbd06639c517a006e2021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667278221000389https://doaj.org/toc/2667-2782Introduction: A waste audit can clarify waste composition and inform improvements in waste disposal, thereby decreasing carbon emissions and reducing costs. The purpose of this study was to conduct a waste audit in the Emergency Department of a suburban community hospital to identify waste content, estimate environmental impact and explore avenues for improvement in waste disposal. Methods: A 24-hour waste audit was performed in the ED of a community hospital in January 2020. The audit examined all waste generated in the ED during the study period. Waste was collected, manually sorted by predominant material, and weighed. Direct pollutant emissions were calculated using the M+WasteCare Calculator. Results: A total of 255.30 kilograms (kg) of waste was produced in a 24-h period, of which 98.2% was solid waste and 1.8% was regulated medical waste. A total of 1.63 kg of waste was produced per patient encounter. The largest category of waste was plastic (61.0%), followed by paper (18.2%). More than 170 unused items (5.2% of total waste) were identified during the audit, including unopened boxes of gloves, surgical face masks, suturing material, and medications. The audit also identified 418 Styrofoam cups disposed of in a 24-h period, which extrapolates to an estimated 152,570 disposed cups each year. Direct pollutant emissions from waste disposal in the ED were estimated at 304 kg of carbon dioxide per day. Conclusions: This 24-h waste audit in the ED of a community hospital identified waste content, estimated environmental impact, and proposed potential avenues for improvement in waste disposal.Sarah HsuSwechya BanskotaWinston McCormickJulia CapacciChristian BustamanteKatelyn MorettiDavid WiegnKyle Denison MartinElsevierarticleWasteMedical wasteWaste auditEmergency departmentPublic aspects of medicineRA1-1270Meteorology. ClimatologyQC851-999ENThe Journal of Climate Change and Health, Vol 4, Iss , Pp 100041- (2021)
institution DOAJ
collection DOAJ
language EN
topic Waste
Medical waste
Waste audit
Emergency department
Public aspects of medicine
RA1-1270
Meteorology. Climatology
QC851-999
spellingShingle Waste
Medical waste
Waste audit
Emergency department
Public aspects of medicine
RA1-1270
Meteorology. Climatology
QC851-999
Sarah Hsu
Swechya Banskota
Winston McCormick
Julia Capacci
Christian Bustamante
Katelyn Moretti
David Wiegn
Kyle Denison Martin
Utilization of a waste audit at a community hospital emergency department to quantify waste production and estimate environmental impact
description Introduction: A waste audit can clarify waste composition and inform improvements in waste disposal, thereby decreasing carbon emissions and reducing costs. The purpose of this study was to conduct a waste audit in the Emergency Department of a suburban community hospital to identify waste content, estimate environmental impact and explore avenues for improvement in waste disposal. Methods: A 24-hour waste audit was performed in the ED of a community hospital in January 2020. The audit examined all waste generated in the ED during the study period. Waste was collected, manually sorted by predominant material, and weighed. Direct pollutant emissions were calculated using the M+WasteCare Calculator. Results: A total of 255.30 kilograms (kg) of waste was produced in a 24-h period, of which 98.2% was solid waste and 1.8% was regulated medical waste. A total of 1.63 kg of waste was produced per patient encounter. The largest category of waste was plastic (61.0%), followed by paper (18.2%). More than 170 unused items (5.2% of total waste) were identified during the audit, including unopened boxes of gloves, surgical face masks, suturing material, and medications. The audit also identified 418 Styrofoam cups disposed of in a 24-h period, which extrapolates to an estimated 152,570 disposed cups each year. Direct pollutant emissions from waste disposal in the ED were estimated at 304 kg of carbon dioxide per day. Conclusions: This 24-h waste audit in the ED of a community hospital identified waste content, estimated environmental impact, and proposed potential avenues for improvement in waste disposal.
format article
author Sarah Hsu
Swechya Banskota
Winston McCormick
Julia Capacci
Christian Bustamante
Katelyn Moretti
David Wiegn
Kyle Denison Martin
author_facet Sarah Hsu
Swechya Banskota
Winston McCormick
Julia Capacci
Christian Bustamante
Katelyn Moretti
David Wiegn
Kyle Denison Martin
author_sort Sarah Hsu
title Utilization of a waste audit at a community hospital emergency department to quantify waste production and estimate environmental impact
title_short Utilization of a waste audit at a community hospital emergency department to quantify waste production and estimate environmental impact
title_full Utilization of a waste audit at a community hospital emergency department to quantify waste production and estimate environmental impact
title_fullStr Utilization of a waste audit at a community hospital emergency department to quantify waste production and estimate environmental impact
title_full_unstemmed Utilization of a waste audit at a community hospital emergency department to quantify waste production and estimate environmental impact
title_sort utilization of a waste audit at a community hospital emergency department to quantify waste production and estimate environmental impact
publisher Elsevier
publishDate 2021
url https://doaj.org/article/a6a42868713c480dbd06639c517a006e
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