Sprout: A Little Footprint with a Big Impact

This Innovation Portfolio is designed to walk the reader through the essential steps our team took to address the issue of the under-utilization of the Meijer Holland Campus in the fall of 2016. As a satellite campus of Grand Valley State University, the Meijer Holland Campus seeks to engage its local community in a more sustained and in-depth way. This brief begins by introducing the reader to the historical and situational context of the Holland campus, followed by a map displaying the stakeholders involved. Through talking with a number of those stakeholders, we gained valuable insights that were grouped together to reveal key themes which were then leveraged in the process of generating our top five innovations. At the final symposium presentation, we delivered our final innovation: Sprout, a Sustainability and Agriculture Bastion. Collaborator debriefs, interviews and secondary research are also included here and were all additional stepping stones that assisted us in our innovation process

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