Table 2 Examples and ways of rating the given answers to the question: How would you describe green/environmental sustainability applied to surgery?
Rated as | Given answer | Reason for rating |
|---|---|---|
Concordant | “Any activities applied in surgery that will limit/reduce the carbon footprint and waste with an environmentally friendly approach” [response #1] | The definition recalls the need to limit or reduce carbon footprint |
“Environmentally-aware surgical activity, decreasing costs and decreasing resource expenditure, including through the use of sustainable practices” [response #9] | The definition recalls the concept of resource awareness | |
“Working in a way that does not damage the future generations' resources” [response #39] | The definition recalls the need to preserve resources for future generations | |
“To understand the impact and reduce the amount of waste produced by the healthcare facilities and activities” [response #54] | The definition recalls the need to reduce the impact of waste | |
“Minimizing carbon footprint, maximizing recycling and reusing products “ [response #116] | The definition recalls the need to limit or reduce carbon footprint | |
“Optimizing resources without compromising care” [response #150] | The definition recalls the need to preserve resources for future generations | |
“Going green means using environmentally friendly products and services. Sustainability means using products or services in a way that does not damage the future generations' resources. Hence, while a final product may be green, its manufacturing or production process may not be sustainable at all” [response #186] | The definition recalls the need to preserve resources for future generations | |
“The principles that can be applied to surgery which have a positive impact on the environment such as reducing waste, minimizing energy use, using environmental-friendly products, reducing transport emission” [response #199] | The definition recalls the need to preserve resources | |
“Promoting low-carbon alternative products and processes in surgery” [response #299] | The definition recalls the need to limit or reduce carbon footprint | |
Inconclusive | “I don’t know” [response #40] | Unclear in its meaning |
“Very important for surgery” [response #90] | ||
“The balance between man, animal, and human should be protected… “[response #174] | ||
“Future” [response #347] | ||
“Applicable, but there is a lack of information on this subject “ [response #415] | ||
Discordant | “Cost effective value-based medicine” [response #131] | Costs are relevant but refer to a different dimension of sustainability |
“Awareness of operating room costs” [response #260] | ||
“Culture” [response #339] | Culture may matter, but it is central | |
“It is not a priority. Safety of the patient is first goal” [response #405] | The concept of patient safety is different than the requested one |