Evaluating quantifiable metrics for hospital green checklists

• Compares the environmental impacts of reusable vs. disposable medical products.
• Compares the economic impacts of reusable vs. disposable medical products.
• Provides normalized greenhouse-gas emissions of common medical services.
• Reusable products are less expensive their single-use disposable alternatives.
• Sustainable healthcare checklists require increased emphasis on custom packs.

While hospitals, sustainable healthcare organizations, and recent peer-reviewed publications have assessed the sustainability of medical products and services, the healthcare industry lacks a framework to effectively inform environmental decision making and quantitatively assess the success of sustainability initiatives for medical products and services. Several recent publications have even expressed a need for better ways to quantify sustainable healthcare practices. To address these needs, this research compared the cradle-to-grave environmental and economic impacts of some of the most common recommendations from checklists: reusable versus disposable medical products, and changes to common medical services. Salient results and conclusions from recent studies focusing on the environmental and economic impacts of various reusable versus disposable medical products and different medical services were synthesized and prioritized. All relevant results related to environmental and economic impacts of reusable versus disposable medical products and the analyzed medical services were also correlated with existing sustainable checklists. The results showed that reusable products were less expensive their single-use disposable alternatives. The dental bur also required the least amount of water for its associated cleaning processes, had the lowest total embodied energy, and had the lowest associated greenhouse gas emissions. These outcomes were likely due to the fact the burs were, by far, the smallest examined product. Based on the results derived from the study, healthcare checklists should be updated to include: optimizing the reusability of medical products; reduce products utilized in custom packs; and evaluating energy recovery potential of utilized products. The results of this study indicate that sustainable healthcare checklists be further validated with more environmental and economic life-cycle analyses related to medical products and services. The primary aim of this paper is to assist hospital employees and administrators with making more informed decisions about the sustainability of their products and services. The scientific value of this paper is underscored by a novel aggregation of life cycle assessment studies pertaining to medical devices and services in order to draw conclusions regarding the overall sustainability of those medical devices and services.