A Survey of the American Society of Anesthesiologists Regarding Environmental Attitudes, Knowledge, and Organization
A Survey of the American Society of Anesthesiologists Regarding Environmental Attitudes, Knowledge, and Organization
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DOI：
10.1213/xaa.0000000000000184
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发表时间：
2016-04-01
期刊：
影响因子：
--
通讯作者：
Bell, Charlotte
中科院分区：
文献类型：
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作者：
Ard, John L., Jr.;Tobin, Katherine;Bell, Charlotte
我们的星球正处于环境危机之中。政府和政府间气候变化专门委员会等国际机构敦促我们在个人和职业生活的各个层面进行彻底的变革。医疗保健行业对气候变化的贡献。根据芝加哥大学的一项研究，医疗保健部门占美国温室气体排放总量的8%。为了了解美国麻醉师的环境实践、态度和知识的现状，我们对美国麻醉师进行了一项关于环境可持续性的调查。这项环境调查是通过电子邮件发送给美国麻醉师协会随机抽样的5200名成员的。将该过程重复第二次。在5200名麻醉医师中，共有2189名接受了调查，应答率为42%。在调查受访者中，80.1%（置信区间为78.2%-81.9%）对回收感兴趣。受访者报告说，他们工作的手术室中有27.7%回收。大多数受访者（67%;置信区间，64%-69%）报告称，关于术中如何回收的信息不足。受访者支持可持续发展的做法，如再处理设备，使用预充式注射器，并捐赠未使用的设备和用品。对再处理设备的肯定答复率为48.4%，对使用预充式注射器的肯定答复率为56.6%，对向医疗任务捐赠设备和用品的肯定答复率为65.1%。关于医院范围内组织可持续发展计划的问题引起了许多我不知道的回应。18%的受访者表示存在可持续性或绿色工作队。共有12.6%的受访者表示，医院领导层有责任促进可持续发展计划。从调查数据中得出的两个重要结论是，缺乏医院范围内的可持续发展计划组织，以及调查响应者认为他们缺乏足够的回收和可持续发展信息。
Our planet is in the midst of an environmental crisis. Government and international agencies such as the Intergovernmental Panel on Climate Change urge radical and transformative change at every level of how we conduct our personal and professional lives. The health care industry contributes to climate change. According to a study from the University of Chicago, the health care sector accounts for 8% of the United States' total greenhouse gas emissions. In an effort to understand the current state of environmental practice, attitudes, and knowledge among anesthesiologists in the United States, we conducted a survey of American anesthesiologists regarding environmental sustainability. The environmental survey was sent out by e-mail to a random sampling of 5200 members of the American Society of Anesthesiologists. This process was repeated a second time. A total of 2189 anesthesiologists of 5200 responded to the survey, a 42% response rate. Of the survey respondents, 80.1% (confidence interval, 78.2%-81.9%) were interested in recycling. Respondents reported recycling in 27.7% of operating rooms where they work. The majority of respondents (67%; confidence interval, 64%-69%) reported there was insufficient information on how to recycle intraoperatively. Respondents supported sustainability practices such as reprocessing equipment, using prefilled syringes, and donating unused equipment and supplies. The affirmative response rate was 48.4% for reprocessing equipment, 56.6% for using prefilled syringes, and 65.1% for donating equipment and supplies to medical missions. Questions about hospital-wide organization of sustainability programs elicited many I don't know responses. Eighteen percent of responders indicated the presence of a sustainability or green task force. A total of 12.6% of responders indicated the presence of a mandate from hospital leadership to promote sustainability programs. Two important conclusions drawn from the survey data are a lack of hospital-wide organization of sustainability programs and a belief among survey responders that they lack adequate information on recycling and sustainability.