The SQUIRE-ENV extension is being led by the Centre for Quality Improvement and Patient Safety (CQuIPS) in collaboration with CASCADES and national and international quality improvement leaders. Building on the internationally recognized Standards for Quality Improvement Reporting Excellence (SQUIRE), this extension establishes structured guidance for reporting environmental sustainability in quality improvement projects where sustainability is a co-benefit or primary aim. Because SQUIRE is widely used by journals, conferences, and healthcare systems to report improvement work, SQUIRE-ENV will help embed sustainability into how QI initiatives are designed, documented, and shared. Publication is anticipated in 2026.
The environmental impact of PPE is large and could be reduced through domestic manufacture, rationalising glove use, using reusables where possible and optimising waste management.
Hence, in settings with frequent use of sharp equipment, open wounds, and mucus membrane exposure, examination gloves should be required. In cases where most pathogens cannot be transmitted through intact skin, the procedure is not seen as an exposure risk, and natural defences form an adequate barrier against transmittable disease, and sanitation of the hands might be an adequate and more ethical consideration for use. We have illustrated some examples to help readers decide when removing gloves for a procedure is appropriate and when it is not.
My research’s purpose was to help fight the global COVID pandemic by helping ethanol producers produce USP grade ethanol as well as study the environmental impacts of producing USP grade ethanol.
We estimate the direct and indirect rebound effects from energy efficiency improvements by UK households. We allow for the capital cost of the improvement, together with the emissions embodied in the relevant equipment. We find rebound effects to be relatively modest, in the range 5–15%. The anticipated shift towards a low carbon electricity system will lead to larger rebound effects.
The Lead Nurse for Infection Prevention and Control and two Lead Practice Educators at Great Ormond Street Hospital NHS Foundation Trust (GOSH) addressed the over-use of non-sterile gloves through education and training. This has improved patient safety and experience and staff are now following evidence-based practice rather than wearing gloves out of habit.
Since May 1, 2023, Island Health has launched the “Gloves Off!” campaign to create a noticeable and measurable decrease in inappropriate glove use through a paradigm shift in organizational culture.
This webinar, hosted by CASCADES and the Canadian Coalition for Green Health Care, explored approaches used by organizations to address unnecessary glove use. Manufactured from synthetic materials such as latex, nitrile, or vinyl, single-use gloves carry financial costs as well as environmental and health impacts. During the session, representatives from the NHS, British Columbia, and Quebec provided an in-depth overview of the development of their initiatives to promote appropriate glove use in health care settings.
