The Triple Bottom Line and Stabilization Wedges: A Framework for Perioperative Sustainability

We present a narrative review of environmental sustainability aimed at perioperative clinicians. The review will familiarize readers with the triple bottom line framework, which aims to align the goals of delivering high-quality patient care, promoting environmental sustainability, and improving the...

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Bibliographic Details
Published inAnesthesia and analgesia Vol. 134; no. 3; pp. 475 - 485
Main Authors Choi, Bong Joon James, Chen, Catherine L
Format Journal Article
LanguageEnglish
Published United States 01.03.2022
Subjects
Air Pollutants
Anesthesiologists
Anesthetics, Inhalation - chemistry
Climate Change
Environment
Humans
Perioperative Care - methods
Physicians
Quality Improvement
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Summary:We present a narrative review of environmental sustainability aimed at perioperative clinicians. The review will familiarize readers with the triple bottom line framework, which aims to align the goals of delivering high-quality patient care, promoting environmental sustainability, and improving the financial position of health care organizations. We introduce the stabilization wedges model for climate change action adopted for the perioperative setting and discuss areas in which perioperative leaders can make sustainable choices. The goal of this review is to increase awareness among perioperative physicians of the environmental impacts of surgical and anesthetic care, promote engagement with sustainability efforts as a topic of professional concern for our specialty, and inspire new research in perioperative environmental sustainability.
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B.J. James Choi, MS: This author identified key references, synthesized the data, drafted the manuscript, provided critical review and revisions, and approved the final manuscript.
Author Contributions
Catherine L. Chen, MD, MPH: This author conceived the paper, identified key references, synthesized the data, assisted with drafting the manuscript, provided critical review and revisions, and approved the final manuscript
ISSN:0003-2999
1526-7598
1526-7598
DOI:10.1213/ANE.0000000000005890