Table 5 Results—Sustainability measures in hospitals and institutions

[Regular maintenance of surgical equipment/repair of damaged surgical equipment]

319

92

39

450

[Automatic or pedal-controlled water taps]

263

165

22

450

[Formal mechanism for reducing clinically unnecessary interventions (e.g., antibiotics, catheterisation, histological examinations)]

241

159

50

450

[Regular waste audits to ensure appropriate separation of sharps, biologic, non-infectious waste]

230

132

88

450

[Use of reusable, hybrid, and remanufactured equipment (e.g., diathermy, gallipot, kidney-dishes, light handles, quivers, staplers, energy devices)]

213

196

41

450

[Reusable textiles (gowns, drapes, etc.)]

204

222

24

450

[Limits single-use surgical packs]

200

215

35

450

[Battery/metal recycling program]

196

143

111

450

[Regular waste audits for accurate recording of used and wasted]

193

150

107

450

[Use of alcohol rub over water scrub]

191

216

43

450

[Participation in domestic or recycling waste streams]

177

161

112

450

[Automatic powering off of unused lights, computers, ventilation, AGSS, and temperature control when operating theatre is not in use]

171

215

64

450

[Standardized, consensus-based surgeon preference cards for each operation]

160

229

61

450

[Employs leased machines or IT instruments]

126

189

135

450

[Formal mechanism for incentivizing less wasteful, lower-carbon, or more environmentally sustainable practices (e.g., skin sutures vs. clips, loose prep in gallipots)]

114

256

80

450

[Employs shared machine or IT instruments with other institutions]

108

224

118

450

[Hospital electricity generated from sustainable energy source (wind, hydro, solar, etc.)]

101

240

109

450

[Purposefully contracts with organizations that adopt sustainable practices]

87

192

171

450

[Multidisciplinary Sustainability/Green Committee with meetings at regular intervals]

72

226

152

450