Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Travel Safe

En la actualidad, existe un alto índice de robos de maletas al momento de realizar un viaje, puesto que según la SITA (Societé Internacionale de Telécommunications Aéronautiques) se pierden cerca de 25 millones de maletas por año a nivel mundial. La situación no es muy diferente en el Perú, ya que constantemente se ven casos de robo o pérdida de equipaje en el territorio nacional. Para estos casos, ante la ineficiencia de las autoridades y la falta de medidas de control, se han propuesto diversas alternativas de solución para proteger las maletas como candados especiales, sistema TSA, entre otros. Sin embargo, estos no son efectivos al ser fácilmente manipulados o forcejeados. En base a lo mencionado anteriormente, nació la idea de Travel Safe. Este modelo de negocios ofrece maletas inteligentes con un sistema compacto que utiliza tecnología NFC y permite conectarse a través de una aplicación móvil y rastrear en tiempo real la ubicación de la maleta. Asimismo, posee un sistema integrado que ayuda a la protección contra el robo e intento de manipulación. Por ello, para probar tal aceptación de nuestra propuesta que corresponde a una solución óptima de una problemática existente en el Perú, se han desarrollado diversos experimentos e investigaciones que se abordará en el presente trabajo de investigación. Una vez hecha la validación de nuestro proyecto, se presentan los compromisos de ventas efectuados y los diversos planes de acción en las diferentes áreas. Finalmente, se concluye que el negocio propuesto es un éxito y genera una atractiva rentabilidad.Nowadays, there is a high rate of theft of suitcases when making a trip, since according to the SITA (Société Internationale de Telécommunications Aéronautiques) are lost about 25 million suitcases per year worldwide. The situation is not very different in Peru, since cases of theft or loss of luggage are constantly seen in the national territory. For these cases, due to the inefficiency of the authorities and the lack of control measures, several alternative solutions have been proposed to protect the suitcases such as special locks, TSA system, among others. However, these are not effective because they are easily manipulated or wrestled. Based on the above, the idea of Travel Safe was born. This business model offers intelligent suitcases with a compact system that uses NFC technology and makes it possible to connect through a mobile application and track the location of the suitcase in real time. It also has an integrated system that helps protect against theft and attempted tampering. Therefore, to prove such acceptance of our proposal that corresponds to an optimal solution of an existing problem in Peru, have developed various experiments and research that will be addressed in this research work. Once our project has been validated, the sales commitments made and the various action plans in the different areas are presented. Finally, it is concluded that the proposed business is a success and generates an attractive profitability.Trabajo de investigació