Renal

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  1. Clinical Transformation: The Key to Green Nephrology

    Andrew Connor, Frances Mortimer, Charles Tomson Nephron Clin Pract 2010;116:c200-c206 (DOI: 10.1159/000317200) Climate change represents a major global public health threat. The very provision of healthcare itself has a significant untoward effect on the environment, to which kidney care is likely to contribute disproportionately. In this article we describe the four principles we believe will underpin a successful transformation to lower carbon kidney care: disease prevention, patient empowerment, lean service delivery and the preferential use of low-carbon technologies. We illustrate their application and their co-benefits, such as improvements in patient care and reductions in cost, with examples.

    from SHEBA on 02 July 2010 | Download | Comment on this

  2. Renal medicine can take the lead in greener healthcare.

    The decision by The Lancet to commission a 40-page report into the health effects of global warming should be taken as an indication that the medical profession can no longer ignore the implications of climate change. Renal medicine is among the first specialties to begin to pursue the changes in infrastructure and practice that will be required to tackle this impending public health catastrophe. Connor A, Tomson C, Mortimer F. British Journal of Renal Medicine 2009/10;14(4):19-22.

    from SHEBA on 29 April 2010 | Direct link | Comment on this

  3. Case study and how-to guide: reduce, re-use, recycle in the dialysis unit

    The three case studies outlined here show that the principles most commonly used to underpin waste reduction strategies – reduce, reuse, recycle – can be successfully applied to renal units, and that financial savings can be made. Applying these strategies can be remarkably simple, and the repetitive nature of the dialysis treatments means that the benefits are continually accrued. The final part of this ‘How to…’ guide describes how to undertake a waste audit, which will allow individual units to identify where best to focus their attention. Green Nephrology programme 2009-10.

    from The Campaign for Greener Healthcare on 16 April 2010 | Download | Comment on this

  4. 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

  5. Case study and how-to guide: telephone clinics in follow-up of renal transplant recipients

    Renal units have traditionally used outpatient clinics to provide routine follow up to their transplanted patients, although the care required is often very simple and the patients typically feel well. The renal unit at the University Hospital of Coventry and Warwickshire has been successfully running a twice-monthly telephone clinic to provide follow up to these patients since 2006. Patients are offered the choice to remain in the traditional follow up system or switch to quarterly telephone clinic follow up, with just one annual traditional (‘face-to-face’) outpatient appointment at their local renal clinic. Green Nephrology programme 2009-10.

    from The Campaign for Greener Healthcare on 19 January 2010 | Download | Comment on this