Best practices of sustainable operating for OR-complexes : a review towards providing an overview of Dutch initiatives in three university medical centers. Intended to clarify the best practices.

The operating room (OR) is seen as one of the largest carbon dioxide (CO2) contributors in a hospital and produces 70% of the total waste of a hospital. Several Dutch ORs have started initiatives to decarbonize the OR. However, there is a lack of overview of what the best practices are to make the OR more sustainable. Research is done to create an overview of best practices and select key performance indicators to measure the performance in environmental sustainability in the OR. Thus this thesis answers the following research question: “What are best practices within sustainability projects in the OR-compleesx of Leiden UMC, Radboud UMC, and Amsterdam UMC?”