Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Environmental impact reduction as a new dimension for quality measurement of healthcare services

Environmental impact reduction as a new dimension for quality measurement of healthcare services PurposeThe purpose of this paper is to provide a detailed accounting of energy and materials consumed during magnetic resonance imaging (MRI).Design/methodology/approachThe first and second stages of ISO standard (ISO 14040:2006 and ISO 14044:2006) were followed to develop life cycle inventory (LCI). The LCI data collection took the form of observations, time studies, real-time metered power consumption, review of imaging department scheduling records and review of technical manuals and literature.FindingsThe carbon footprint of the entire MRI service on a per-patient basis was measured at 22.4 kg CO2eq. The in-hospital energy use (process energy) for performing MRI is 29 kWh per patient for the MRI machine, ancillary devices and light fixtures, while the out-of-hospital energy consumption is approximately 260 percent greater than the process energy, measured at 75 kWh per patient related to fuel for generation and transmission of electricity for the hospital, plus energy to manufacture disposable, consumable and reusable products. The actual MRI and standby energy that produces the MRI images is only about 38 percent of the total life cycle energy.Research limitations/implicationsThe focus on methods and proof-of-concept meant that only one facility and one type of imaging device technology were used to reach the conclusions. Based on the similar studies related to other imaging devices, the provided transparent data can be generalized to other healthcare facilities with few adjustments to utilization ratios, the share of the exam types, and the standby power of the facilities’ imaging devices.Practical implicationsThe transparent detailed life cycle approach allows the data from this study to be used by healthcare administrators to explore the hidden public health impact of the radiology department and to set goals for carbon footprint reductions of healthcare organizations by focusing on alternative imaging modalities. Moreover, the presented approach in quantifying healthcare services’ environmental impact can be replicated to provide measurable data on departmental quality improvement initiatives and to be used in hospitals’ quality management systems.Originality/valueNo other research has been published on the life cycle assessment of MRI. The share of outside hospital indirect environmental impact of MRI services is a previously undocumented impact of the physician’s order for an internal image. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Health Care Quality Assurance Emerald Publishing

Environmental impact reduction as a new dimension for quality measurement of healthcare services

Loading next page...
 
/lp/emerald-publishing/environmental-impact-reduction-as-a-new-dimension-for-quality-mprd0HQUQe

References (21)

Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
0952-6862
DOI
10.1108/IJHCQA-10-2016-0153
Publisher site
See Article on Publisher Site

Abstract

PurposeThe purpose of this paper is to provide a detailed accounting of energy and materials consumed during magnetic resonance imaging (MRI).Design/methodology/approachThe first and second stages of ISO standard (ISO 14040:2006 and ISO 14044:2006) were followed to develop life cycle inventory (LCI). The LCI data collection took the form of observations, time studies, real-time metered power consumption, review of imaging department scheduling records and review of technical manuals and literature.FindingsThe carbon footprint of the entire MRI service on a per-patient basis was measured at 22.4 kg CO2eq. The in-hospital energy use (process energy) for performing MRI is 29 kWh per patient for the MRI machine, ancillary devices and light fixtures, while the out-of-hospital energy consumption is approximately 260 percent greater than the process energy, measured at 75 kWh per patient related to fuel for generation and transmission of electricity for the hospital, plus energy to manufacture disposable, consumable and reusable products. The actual MRI and standby energy that produces the MRI images is only about 38 percent of the total life cycle energy.Research limitations/implicationsThe focus on methods and proof-of-concept meant that only one facility and one type of imaging device technology were used to reach the conclusions. Based on the similar studies related to other imaging devices, the provided transparent data can be generalized to other healthcare facilities with few adjustments to utilization ratios, the share of the exam types, and the standby power of the facilities’ imaging devices.Practical implicationsThe transparent detailed life cycle approach allows the data from this study to be used by healthcare administrators to explore the hidden public health impact of the radiology department and to set goals for carbon footprint reductions of healthcare organizations by focusing on alternative imaging modalities. Moreover, the presented approach in quantifying healthcare services’ environmental impact can be replicated to provide measurable data on departmental quality improvement initiatives and to be used in hospitals’ quality management systems.Originality/valueNo other research has been published on the life cycle assessment of MRI. The share of outside hospital indirect environmental impact of MRI services is a previously undocumented impact of the physician’s order for an internal image.

Journal

International Journal of Health Care Quality AssuranceEmerald Publishing

Published: Oct 8, 2018

There are no references for this article.