Survey on Key Indicators of the "Green Hospital" in a Selected Military Hospital

Document Type : Original Research

Authors

1 Health Management Research Center, BUMS, Tehran, Iran

2 Department of Environmental Health, Health Research Center and Health School , Baqiyatallah University of Medical Sciences, Tehran, Iran

3 Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran

Abstract

Background and Aim: In recent years, the construction industry, especially hospitals affected by sustainable development, have created concepts such as "sustainable building" and "green hospital". With the development of implementation and evaluation systems of Green Hospital, various methods were presented. The common point of all these methods was the three areas of optimal consumption of water, energy, and less waste generation. This study was conducted to investigate the status of these areas.
Methods: This is a retrospective descriptive cross-sectional study. The research population includes a selected military hospital in Tehran, Iran. Information on the consumption and cost of energy, water, and also the amount of waste production over a period of three years (2014-2016) in 2017 were collected and analyzed.
Results: On average, the hospital consumes 80.79 kWh of electricity and 12.12 m3 of gas at a cost of 25861 Rials and 10808 Rials per active day bed, respectively. This statistic is active for 1124 liters of water consumption at a cost of 16,993 Rials per day bed. Waste production was on average 3.67 kg per active day bed, of which 42% was infectious waste.
Conclusion: The results showed that water and electricity consumption were 2.20 and 10.1 times the existing standards, respectively. The average production of total waste was 2.5 to 3.7 times and infectious waste was estimated to be 27% higher than international standards. It is recommended that hospitals adopt environmental protection strategies, hold training courses, manage waste, and allocate the necessary funds. In the macro dimension, the binding of these measures and the development of local indicators will be a useful solution. The lack of mandatory standards for measuring and reducing the studied indicators is a national challenge and it is suggested that the hospital reduces the statistics.

Keywords

References

1. Iran's general environment policy (2015). [In Persian] 2. Vision of the Islamic Republic of Iran in 1404, (2003). [In Persian] 3. Constitution of the Islamic Republic of Iran, (1979). [In Persian] 4. Taghavi L, Dabiri F, Tayebi S. Justice and Governance Key Strategies for Environmental Sustainability (Rio + 20 Legal Perspective for Sustainable Development). Humans and the environment. 2013;11(1):49-58. 5. Buctine D, Clare E. Understanding the environment. Mashhad: Publications University of Mashhad; 2009. 6. Khan FI, Raveender V, Husain T. Effective environmental management through life cycle assessment. Journal of Loss Prevention in the Process Industries. 2002;15(6):455-66. doi:10.1016/S0950-4230(02)00051-7 7. Petak WJ. Environmental planning and management: The need for an integrative perspective. Environmental Management. 1980;4(4):287-95. doi:10.1007/BF01869422 8. 2012 Commercial Buildings Energy Consumption Survey: Water Consumption in Large Buildings Summary U.S.A: U.S. Energy Information Administration; 2017 [Available from: https://www.eia.gov/consumption/commercial/reports/2012/water/. 9. Jabbarvand M, Mokhtare H, Sharifi R, Shafiei M, Negahban Z. Comparative study on energy usage status and its management in Farabi Eye Hospital. EBNESINA- Journal of Medical. 2011;14(3):41-8. 10. Shaabani Y, VafaeeNajar A, Hooshmand E. Investigation and Comparison of Available Models for Green Hospitals. Journal of Healthcare Management. 2016;7(1):15-25. 11. Poursadeghi S, Faizi M, Azemati H. Classification of LEED Global Standard Indexes in the Design of Medical Spaces Based on the Regional Ecosystem Characteristics Case Study: Mashhad Metropolis. Journal of Architecture and Urban Planning. 2016;9(17):79-99. 12. Ryan-Fogarty Y, O'Regan B, Moles R. Greening healthcare: systematic implementation of environmental programmes in a university teaching hospital. Journal of Cleaner Production. 2016;126:248-59.doi:10.1016/j.jclepro.2016.03.079 13. Asefzadeh S, Golamalipoor S, Atighechian G. Comparison of Energy Consumption before and after Implementation of Subsidies Targeting Plan in Hospitals of Qazvin University of Medical Sciences. Health information management. 2013;11(1):99-108. 14. Gerali M, Paikopoulou D, Servitzoglou M. Sustainable Development in Healthcare. Int J Reliab Qual E-Healthc. 2015;4(2):31-8. doi:10.4018/IJRQEH.2015040103 15. Stichler JF. Code green: a new design imperative for healthcare facilities. Journal of Nursing Administration. 2009;39(2):51-4. doi:10.1097/NNA.0b013e318197bb88 16. Taleshi A, Nejadkoorki F, AzimZadeh H, Ghaneian T. Toward Green Hospital Standards in Yazd Educational Hospitals in 2013. Journal of Ilam University of medical sciences. 2014;22(5):114-27. 17. Zahedi S, Rahmati L. Effectiveness of environmental management systems in hospitals of Tehran (Based on Series ISO 14000). J Publ Admin. 2009;1:49-60. 18. de Toledo AF, Demajorovic J. Hospital Activities: Environmental Impact and Ecoefficiency Strategies. 2006. 19. Riahi L, Nabi KH, AghaMohammadi V. The Relationship between Hospital Bed Indices and Electricity Consumption in Hamadan University of Medical Sciences Hospitals. Healthcare Management. 2010;2:59-65. 20. Szklo AS, Soares JB, Tolmasquim McT. Energy consumption indicators and CHP technical potential in the Brazilian hospital sector. Energy Conversion and Management. 2004;45(13):2075-91. doi:10.1016/j.enconman.2003.10.019 21. Sahamir SR, Zakaria R. Green Assessment Criteria for Public Hospital Building Development in Malaysia. Procedia Environmental Sciences. 2014;20:106-15. doi:10.1016/j.proenv.2014.03.015 22. Dziegielewski B. Commercial and institutional end uses of water: American Water Works Association; 2000. 23. Trust HRE. Environmental Sustainability in Hospitals: The Value of Efficiency. Chicago: 2014. 24. Musaudi ASA, Ahmadi S, Bostani L. How was energy consumption in selected hospitals in Isfahan? Health information management. 2005;2(2):17-24. [In Persian] 25. Fahiminia m, Taherian E, Mohammadbeigi A. Surveying water and wastewater management in Hospitals of Qom Province. Hospital. 2015;14(1): 127-35. 26. Marinković N, Vitale K, Holcer NJ, Džakula A, Pavić T. Management of hazardous medical waste in Croatia. Waste management. 2008;28(6):1049-56. doi:10.1016/j.wasman.2007.01.021 27. Sadeghi S, Ghahramani E, Soleimani M. Survey of Quantitative and Qualitative of waste produced in beasat hospital of Sanandaj city in 2011. Tolooebehdasht. 2014;13(4):144-53. 28. Abdulla F, Qdais HA, Rabi A. Site investigation on medical waste management practices in northern Jordan. Waste management. 2008;28(2):450-8. doi:10.1016/j.wasman.2007.02.035 29. Shinee E, Gombojav E, Nishimura A, Hamajima N, Ito K. Healthcare waste management in the capital city of Mongolia. Waste management. 2008;28(2): 435-41. doi:10.1016/j.wasman.2006.12.022 30. Allegranzi B, Pittet D. Healthcare-associated infection in developing countries: simple solutions to meet complex challenges. Infection Control & Hospital Epidemiology. 2007;28(12):1323-7. doi:10.1086/521656 31. Gitipour S, AkbarPourSarasecanroud F, Firoozbakht S. Assessment of Waste Management in Hospitals of Tehran Province. Ecology. 2017;42(4): 709-18. 32. Ferdowsi A, Ferdosi M, Mehrani Z, Narenjkar P. Certain Hospital Waste Management Practices in Isfahan, Iran. International Journal of Preventive Medicine. 2012;3(Suppl1):S176-85. 33. Farzadkia M, Golbaz S, Sajadi HS. Surveying Hospital Waste Management in Karaj in the year of 2013. Journal of Hospital. 2015;14(1):105-15. 34. Zazouli M, Bagheri Ardebilian M. Survey of Hospital Waste Management, Case Study: State Hospitals of Ardabil City. Journal of Health. 2010; 1(2):24-34. 35. Mohammadian Fazli M, Nassiri J, Nabizadeh R, Mehrasbi Mr. Qualitative and quantitative assessment and management of hospital waste in Zanjan, Iran in 2011. Iranian Journal of Health & Environment. 2013;6(1):55-64. 36. Far RM, Rad FS, Abdolazimi Z, Kohan MMD. Determination of rate and causes of wastage of blood and blood products in Iranian hospitals. Turk J Haematol. 2014;31(2):161-7. doi:10.4274/tjh.2012.0105 37. Marinozzi C. Good Waste Management Practices in Healthcare Establishments; Dr. Roque Sáenz Peña Hospital in Rosario Argentina: health Care without Harm; 2012 [Available from: http://greenhospitals.net/wp-content/uploads/2013/11/Dr-Roque-S%C3%A1enz-Pe%C3%B1a-Hospital-in-Rosario-Argentina-Waste.pdf.
Journal of Military Medicine
Volume 22, Issue 4 - Serial Number 88
July and August 2020
Pages 401-409

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