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The Plan-Do-Study-Act framework ran three cycles across Nazem Kadri Surgical Centre, Victoria Hospital, and University Hospital, using educational interventions, uptake and waste outcomes, carbon footprint, cost savings, and patient satisfaction balancing measures.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/bring-your-own-reusables-to-surgery-an-environmental-sustainability-quality-improvement-initiative/433769/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/bring-your-own-reusables-to-surgery-an-environmental-sustainability-quality-improvement-initiative/433769.png","ImageObject",300,407,{"name":42,"@type":43},"Aria","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-08","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":33},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What problem did the initiative target in operating rooms?","Question",{"text":62,"@type":63},"It targeted the high amount of hospital waste generated by operating rooms, specifically plastic waste that contributes roughly 20% to 25% of total OR waste.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"How was the quality improvement implemented?",{"text":67,"@type":63},"Using the Plan-Do-Study-Act method, the team ran three PDSA cycles at Nazem Kadri Surgical Centre, then at Victoria Hospital and University Hospital, supported by educational interventions for staff and patients.",{"name":69,"@type":60,"acceptedAnswer":70},"What outcomes were achieved by the final PDSA cycle?",{"text":71,"@type":63},"In cycle 3, 60.0% and 78.0% of patients brought reusable bags, and 15.7% and 57.8% brought reusable water bottles. Plastic bags for patient belongings purchased annually dropped 45.7%, equivalent to 2141 kg CO2e, 10,393 km driven equivalent emissions, $1259.55 saved, and 252 kg of waste avoided.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},433769,1792658753,{"code":4,"msg":81,"data":82},"success",[83,87,91,95,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":92,"show_sort_weight":93,"slug":94},"Exam",70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":96,"slug":129},19,"General","general",{"code":4,"msg":81,"data":131},{"doc_id":78,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":115,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144,"preview_page_count":4},2336464648322,"https://ap-avatar.wpscdn.com/avatar/2200025388227c56fec?_k=1778556882303663488","RESEARCH • RECHERCHE  \n“Bring your own” reusables to surgery: an environmental sustainability quality-improvement initiative  \nSukham K. Brar, BMSc Celia Dann, RN, BScN Mike Apostol, PEng, MES Jacob Davidson, MSc Claire A. Wilson, PhD Jenny Sleegers, RN Shannon Bilodeau, RNAncy Rajan, RN, BScN Rebecca Walters, RN Joanna Bossy, BHSc, BScN Ken Leslie, MD  \nJulie E. Strychowsky, MD, MAS Accepted Aug. 12, 2025  \nCorrespondence to:  \nJ.E. Strychowsky  \nLondon Health Sciences Centre —Victoria Hospital  \nB3-444 800 Commissioners Road East London ON NGA 5W9  \n[julie.strychowsky@lhsc.on.ca](julie.strychowsky@lhsc.on.ca)  \n[Cite as:](Cite as: Can J Surg 2026 January 6)[ Can J Surg](Cite as: Can J Surg 2026 January 6)[ 2026 January 6](Cite as: Can J Surg 2026 January 6);  \n69(1) . doi: 10. 1503/cjs.001325  \nBackground: Operating rooms (ORs) produce more than 30% of a hospital’s total waste, with plastic accounting for 20% of that waste. Our project aimed to reduce OR plastic waste by encouraging patients at London Health Sciences Centre sites to bring reusable bags for their belongings and reusable water bottles.  \nMethods: We used the Plan-Do-Study-Act (PDSA) quality-improvement method, conducting 3 PDSA cycles, first at Nazem Kadri Surgical Centre, and then at Victoria Hospital and University Hospital. Educational interventions informed staff and encouraged patients to bring their own reusable items. Outcome measures included environmental carbon footprint savings, waste savings, and cost savings over a 1-year period. Process measures included the percentage of patients who brought their own reusable bags and water bottle, the percentage of plastic belongings bags purchased, and the percentage of patients informed to bring their own reusables. Balancing measures assessed patient satisfaction and administrative workflow changes.  \nResults: In PDSA cycle 3 at University Hospital and Victoria Hospital, 60.0% and 78.0% of patients brought their own reusable bags for belongings, and 15.7% and 57.8% brought a reusable water bottle. There was a 45.7% reduction of plastic bags for patient belongings purchased annually, which equated to a reduction of 2141 kg of carbon dioxide equivalents, 10 393 km driven equivalent emissions, $1259.55 saved, and 252 kg of waste saved. Most patients and staff agreed that bringing reusable bags for surgery is easy.  \nConclusion: This quality-improvement initiative achieved high patient uptake of reusable items and resulted in substantial reductions in plastic use, waste, and associated carbon emissions. Transitioning to reusable bags for patient belongings andreusable water bottles is an environmentally friendly initiative to reduce the carbon footprint of an OR.  \nContexte : L’utilisation d’une salle d’opération engendre plus de 30 % du total des déchets d’un hôpital, le plastique comptant pour 20 % de ces déchets. Notre projet visait à réduire les déchets de plastique liés à l’utilisation d’une salle d’opération en encourageant la patientèle du London Health Sciences Centre à apporter des sacsréutilisables pour les biens personnels ainsi que des bouteilles d’eau réutilisables.  \nMéthodes : Nous avons utilisé la méthode d’amélioration de la qualité « planifierexécuter-étudier-agir » (PEÉA) et effectué 3 cycles PEÉA au centre chirurgical Nazem Kadri d’abord, puis à l’Hôpital Victoria et au University Hospital. Nous avons effectué des interventions éducatives auprès du personnel et encouragé la patientèle à apporter ses propres articles réutilisables. Parmi les mesures des résultats, citons les réductions de l’empreinte de carbone dans l’environnement, la réduction des déchetset les économies liées aux coûts sur une période de 1 an. Les indicateurs de processus comprenaient le pourcentage de patients et patientes qui apportaient leurs sacs et leurbouteille d’eau réutilisables, le pourcentage de sacs de plastique pour effets personnelsachetés ainsi que le pourcentage de patients et patientes qui avaient été avisé","cbCaimh0ANtOCk1f","https://ap.wps.com/l/cbCaimh0ANtOCk1f","pdf",381862,"English","# Background\n## Methods\n## Results\n## Conclusion","[{\"question\":\"What problem did the initiative target in operating rooms?\",\"answer\":\"It targeted the high amount of hospital waste generated by operating rooms, specifically plastic waste that contributes roughly 20% to 25% of total OR waste.\"},{\"question\":\"How was the quality improvement implemented?\",\"answer\":\"Using the Plan-Do-Study-Act method, the team ran three PDSA cycles at Nazem Kadri Surgical Centre, then at Victoria Hospital and University Hospital, supported by educational interventions for staff and patients.\"},{\"question\":\"What outcomes were achieved by the final PDSA cycle?\",\"answer\":\"In cycle 3, 60.0% and 78.0% of patients brought reusable bags, and 15.7% and 57.8% brought reusable water bottles. Plastic bags for patient belongings purchased annually dropped 45.7%, equivalent to 2141 kg CO2e, 10,393 km driven equivalent emissions, $1259.55 saved, and 252 kg of waste avoided.\"}]","“Bring your own” reusables to surgery: an environmental sustainability quality-improvement initiative | PDF",1790665425,23]