Clinical Transformation

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  1. Changes in travel-related carbon emissions associated with modernization of services for patients with acute myocardial infarction: a case study

    Alexis Zander, Aphrodite Niggebrugge, David Pencheon, Georgios Lyratzopoulos, Public Health (2010) doi: 10.1093/pubmed/fdq048 First published online: June 16, 2010. We estimated carbon emissions associated with ambulance (patient) transport under a primary percutaneous coronary intervention (pPCI) care model based in tertiary centres, compared with historical emissions under a thrombolysis model based in general hospitals. We used geographical information on 41 449 hospitalizations, and published UK government fuel to carbon emissions conversion factors.

    from SHEBA on 16 June 2010 | Direct link | Comment on this

  2. Royal College of Physicians - Leading for Quality

    "Leading for Quality - the foundation for healthcare over the next decade" [p19 "The RCP believes that doctors have a collective responsibility within their professional communities to take action on climate change and look at how they can alter working practices so that, while remaining safe and of a high quality, they support a more sustainable future." "The RCP believes that sustainability should play a bigger role in decision-making when funds and resources are allocated within hospitals"]

    from SHEBA on 10 March 2010 | Download | Comment on this

  3. Place sustainability at the heart of the quality agenda

    Justyn M Thomas, Paul A Cosford. Qual Saf Health Care 2010;19:260e261. doi:10.1136/qshc.2010.044123 "If the guiding ethos of health systems throughout the world were ‘live for the day,’ two pillars of quality would suffice [- effectiveness and efficiency]. Living for the day, however, is a high-risk mindset, and if a health system is also to prosper ‘tomorrow,’ a sensible precaution must be to embrace a further pillar of quality: sustainability. Put simply, this concerns the use of resources in a way to build, rather than undermine, operative resilience for the future delivery of high-quality healthcare."

    from SHEBA on 12 August 2010 | Direct link | Comment on this

  4. Going green saves money in kidney care

    by Frances Mortimer on 10 July 2010 | Comment on this

  5. The Sustainable Physician

    Mortimer-F. Clinical Medicine 2010, Vol 10, No 2: 110–11. A low-carbon health service will: be better at preventing illness; give greater responsibility to patients in managing their health; be leaner in service design and delivery; and use the lowest carbon technologies.

    from SHEBA on 09 April 2010 | Direct link | Comment on this