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The Design Intervention Opportunities to Reduce Procedural-Caused Healthcare Waste Under the Industry 4.0 Context – A Scoping Review

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Interactivity and Game Creation (ArtsIT 2020)

Abstract

The current medical device industry thrives on material redundancy and continues to advocate for a use-and-throw model of practice. Such redundancies are vital to ensure the safety of patients by preventing reinfection from reused devices, but the risks and costs of the waste generated are leaving hospitals and third-party resource handlers wary of future challenges.

The Industry 4.0 revolution has started to redefine the production and consumption models of many industries. The main advantages of adopting these methods have been increased efficiency of systems and a reduction of redundant resources. But how do these new technologies help reduce the waste generated in medical procedures? This paper scopes the opportunities that come with implementing industry 4.0 to reduce procedural caused medical waste. These challenges and opportunities have been analysed at four hierarchical levels of innovation; the system, service, procedural and product levels. The research indicates that although the adoption of industry 4.0 concepts in healthcare is contributing to a more efficient use of resources, more research is required focused specifically on its impact on the production of procedure-caused medical waste.

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References

  • Ahmadi, E., Masel, D.T., Metcalf, A.Y., Schuller, K.: Inventory management of surgical supplies and sterile instruments in hospitals: a literature review. Health Syst. 8(2), 134–151 (2018). https://doi.org/10.1080/20476965.2018.1496875

  • Al Hroub, A., et al.: Improving the workflow efficiency of an outpatient pain clinic at a specialized oncology center by implementing lean principles. Asia Pac. J. Oncol. Nurs. 6(4), 381–388 (2019)

    Article  Google Scholar 

  • Arksey, H., O’Malley, L.: Scoping studies: towards a methodological framework. Int. J. Soc. Res. Methodol. 8(1), 19–32 (2005)

    Article  Google Scholar 

  • Arun Kumar, P.: Insulin management system for diabetic patients. In: Proceedings of the India HCI 2014 Conference on Human Computer Interaction (IndiaHCI 2014), pp. 102–107. ACM, New York (2014)

    Google Scholar 

  • Baccei, S.J., Henderson, S.R., Lo, H.S., Reynolds, K.: Using quality improvement methodology to reduce costs while improving efficiency and satisfaction in a busy, academic muskuloskeletal radiology division. J. Med. Syst. 44, 104 (2020). https://doi.org/10.1007/s10916-020-01569-8

    Article  Google Scholar 

  • Bates, D.W., Saria, S., Ohno-Machado, L., Shah, A., Escobar, G.: Big data in health care: using analytics to identify and manage high-risk and high-cost patients. Health Aff. 33(7), 1123–1131 (2014)

    Article  Google Scholar 

  • Becker, E.L., Landau, S.I., Manuila, A.: The International Dictionary of Medicine and Biology. Wiley, Hoboken (1986)

    Book  Google Scholar 

  • Benfield, C.B., et al.: Applying lean principles to continuous renal replacement therapy processes. Am. J. Health Syst. Pharm. 72(3), 218–223 (2015)

    Article  Google Scholar 

  • Bennett, C.C., Doub, T.D.: Data mining and electronic health records: selecting optimal clinical treatments in practice. In: Proceedings of the 6th International Conference on Data Mining, Las Vegas, Nevada, pp. 313–318 (2010)

    Google Scholar 

  • Bennett, C.C., Hauser, K.: Artificial intelligence framework for simulating clinical decision-making: a Markov decision process approach. Artif. Intell. Med. 57(1), 9–19 (2013)

    Article  Google Scholar 

  • Bown, C.P.: COVID-19: demand spikes, export restrictions, and quality concerns imperil poor country access to medical supplies. In: COVID-19 and Trade Policy: Why Turning Inward Won’t Work, pp. 31–48. CEPR Press, London (2020)

    Google Scholar 

  • Caloyeras, J.P., et al.: Understanding waste in health care: perceptions of frontline physicians regarding time use and appropriateness of care they and others provide. Permanente J. 22, 17–26 (2018)

    Google Scholar 

  • Ceschin, F., Gaziulusoy, I.: Evolution of design for sustainability: from product design to design for system innovations and transitions. Des. Stud. 47, 118–163 (2016). https://doi.org/10.1016/j.destud.2016.09.002

  • Chan, H.H.L., Siewerdsen, J.H., Vescan, A., Daly, M.J., Prisman, E., Irish, J.C.: 3D rapid prototyping for otolaryngology—head and neck surgery: applications in image-guidance, surgical simulation and patient-specific modeling. PLoS ONE 10(9), e0136370 (2015)

    Article  Google Scholar 

  • Chartier, Y., et al.: Safe Management of Wastes from Health-Care Activities, 2nd edn. WHO Library, Geneva (2014)

    Google Scholar 

  • Choi, J.W., Kim, N.: Clinical application of three-dimensional printing technology in craniofacial plastic surgery. Arch. Plast. Surg. 42(3), 267–277 (2015). https://doi.org/10.5999/aps.2015.42.3.267

  • Dukart, J., et al.: Generative FDG-PET and MRI model of aging and disease progression in Alzheimer’s disease. PLoS Comput. Biol. 9(4), 1–11 (2013)

    Article  Google Scholar 

  • Edwards, K., Nielsen, A.P., Jacobsen, P.: Implementing lean in surgery - lessons and implications. Int. J. Technol. Manag. 57(1/2/3), 4–17 (2012)

    Article  Google Scholar 

  • Fields, E., Neogi, S., Schoettker, P.J., Lail, J.: Using lean methodologies to streamline processing of requests for durable medical equipment and supplies for children with complex conditions. Healthvcare 6(4), 245–252 (2018). https://doi.org/10.1016/j.hjdsi.2017.11.003

  • Garg, B., Mehta, N.: Current status of 3D printing in spine surgery. J. Clin. Orthop. Trauma 9(3), 218–225 (2018)

    Article  Google Scholar 

  • GAO: REPROCESSED SINGLE-USE MEDICAL DEVICES: FDA Oversight Has Increased, and Available Information Does Not Indicate That Use Presents an Elevated Health Risk, p. 38 (2008)

    Google Scholar 

  • Gayed, B., Black, S., Daggy, J., Munshi, I.A.: Redesigning a joint replacement program using lean six sigma in a veterans affairs hospital. JAMA Surg. 148(11), 1050–1156 (2013)

    Article  Google Scholar 

  • Gibson, I., Rosen, D., Stucker, B.: Additive Manufacturing Technologies, 2nd edn. Springer, New York (2015).https://doi.org/10.1007/978-1-4939-2113-3

  • Gjolaj, L.N., Campos, G.G., Olier-Pino, A.I., Fernandez, G.L.: Delivering patient value by using process improvement tools to decrease patient wait time in an outpatient oncology infusion unit. J. Oncol. Pract. 12(1), e95–e100 (2016)

    Article  Google Scholar 

  • Greene, V.W.: Reuse of disposable medical devices: historical and current aspects. Infect. Control 7(10), 508–513 (1986)

    Article  Google Scholar 

  • Grossglauser, M., Saner, H.: Data-driven healthcare: From patterns to actions. Eur. J. Prev. Cardiol. 21, 14–17 (2014)

    Article  Google Scholar 

  • Hailey, D., Jacobs, P.D., Ries, N.M., Polisena, J.: Reuse of single use medical devices in Canada: clinical and economic outcomes, legal and ethical issues, and current hospital practice. Int. J. Technol. Assess. Health Care 24(4), 430–436 (2008)

    Article  Google Scholar 

  • Ison, E., Miller, A.: The use of LCA to introduce life-cycle thinking into decision-making for the purchase of medical devices in the NHS. J. Environ. Assess. Policy Manag 2(4), 453–476 (2000)

    Article  Google Scholar 

  • Javaid, M., Haleem, A.: Additive manufacturing applications in medical cases: a literature based review. Alexandria J. Med. 54(4), 411–422 (2018)

    Article  Google Scholar 

  • Kagermann, H., Lukas, W.D., Wahlster, W.: Industry 4.0: With the Internet of Things on the way to the 4th industrial revolution (2011). VDI Nachrichten. https://www.vdi-nachrichten.com/Technik-Gesellschaft/Industrie-40-Mit-Internet-Dinge-Weg-4-industriellen-Revolution. Accessed 23 March 2019

  • Klemes, J.J., Fan, Y.V., Tan, R.R., Jiang, P.: Minimising the present and future plastic waste, energy and environmental footprints related to COVID-19. Renew. Sustain. Energy Rev. 127, 109883 (2020)

    Article  Google Scholar 

  • Lasi, H., Fettke, P., Kemper, H.-G., Feld, T., Hoffmann, M.: Industry 4.0. Bus. Inf. Syst. Eng. 6(4), 239–242 (2014). https://doi.org/10.1007/s12599-014-0334-4

    Article  Google Scholar 

  • Lunardini, D., Arington, R., Canacari, E.G., Gamboa, K., Wagner, K., McGuire, K.J.: Lean principles to optimize instrument utilization for spine surgery in an academic medical center: an opportunity to standardize, cut costs, and build a culture of improvement. Spine (Phila Pa 1976) 39(20), 1714–1717 (2014)

    Google Scholar 

  • Martelli, N., et al.: Advantages and disadvantages of 3-dimensional printing in surgery: a systematic review. Surgery 159(6), 1485–1500 (2016)

    Article  Google Scholar 

  • Matt, B.H., Woodward-Hagg, H.K., Wade, C.L., Butler, P.D., Kokoska, M.S.: Lean six sigma applied to ultrasound guided needle biopsy in the head and neck. Otolaryngol. Head Neck Surg. 151(1), 65–72 (2014)

    Article  Google Scholar 

  • Minoglou, M., Gerassimidou, S., Komilis, D.: Healthcare waste generation worldwide and its dependence on socio-economic and environmental factors. Sustainability 9(2), 220 (2017)

    Article  Google Scholar 

  • Mishra, B., Ionescu, M., Chandra, T.: Additive manufacturing for medical and biomedical applications: advances and challenges. Mater. Sci. Forum 783–786, 1286–1291 (2014)

    Google Scholar 

  • Morales-Contreras, M.F., Chana-Valero, P., Suarez-Barraza, M.F., Diaz, A.S., Garcia, E.G.: Applying lean in process innovation in healthcare: the case of hip fracture. Int. J. Environ. Res. Public Health 17(15), 5273 (2020)

    Article  Google Scholar 

  • Nocerino, E., Remondino, F., Kessler, F.B., Uccheddu, F.: 3D modelling and rapid prototyping for cardiovascular surgical planning – two case studies. In: The International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences, Prague, Czech Republic, pp. 887–893 (2016)

    Google Scholar 

  • Ohno, T.: Toyota Production System-Beyond Large-Scale Production. Productivity Press, Portland (1988)

    Google Scholar 

  • Ranney, M.L., Griffeth, V., Jha, A.K.: Critical supply shortages — the need for ventilators and personal protective equipment during the Covid-19 pandemic. N. Engl. J. Med. 382(18), e41 (2020)

    Article  Google Scholar 

  • Rigante, L., Moudrous, W., de Vries, J., Grotenhuis, A.J., Boogaarts, H.D.: Operating room waste: disposable supply utilization in neurointerventional procedures. Acta Neurochir. 159, 2337–2340 (2017). https://doi.org/10.1007/s00701-017-3366-y

    Article  Google Scholar 

  • Sa, D., Stephens, K., Kuang, M., Simunovic, N., Karlsson, J., Ayeni, O.R.: The direct environmental impact of hip arthroscopy for femoroacetabular impingement: a surgical waste audit of five cases. J. Hip Preserv. Surg. 3(2), 132–137 (2016)

    Article  Google Scholar 

  • Sanders, J.H., Karr, T.: Improving ED specimen TAT using lean six sigma. Int. J. Health Care Qual. Assur. 28(5), 428–440 (2015). https://doi.org/10.1108/IJHCQA-10-2013-0117

  • Sanders, A., Elangeswaran, C., Wulfsberg, J.: Industry 4.0 implies lean manufacturing: research activities in Industry 4.0 function as enablers for lean manufacturing. J. Ind. Eng. Manag. 9(3), 811–833 (2016)

    Google Scholar 

  • Stock, T., Seliger, G.: Opportunities of sustainable manufacturing in Industry 4. 0. In: 13th Global Conference on Sustainable Manufacturing, vol. 40, pp. 536–541 (2016)

    Google Scholar 

  • Suomalainen, A., Stoor, P., Mesimäki, K., Kontio, R.K.: Rapid prototyping modelling in oral and maxillofacial surgery: a two year retrospective study. J. Clin. Exp. Dent. 7(5), e605–e612 (2015)

    Google Scholar 

  • Taylor, R.H., Menciassi, A., Fichtinger, G., Fiorini, P., Dario, P.: Medical robotics and computer-integrated surgery. In: Siciliano, B., Khatib, O. (eds.) Springer Handbook of Robotics, pp. 1657–1684. Springer, Cham (2016). https://doi.org/10.1007/978-3-319-32552-1_63

    Chapter  Google Scholar 

  • Thiel, C.L., et al.: Environmental impacts of surgical procedures: life cycle assessment of hysterectomy in the United States. Environ. Sci. Technol. 49, 1779–1786 (2015)

    Article  Google Scholar 

  • Torabi, K., Farjood, E., Hamedani, S.: Rapid prototyping technologies and their applications in prosthodontics, a review of literature. J. Dent. 16(1), 1–9 (2015)

    Google Scholar 

  • Ustundag, A., Cevikcan, E.: Managing the Digital Transformation. Pham, D.T. (ed.), 1st edn. Springer, Istanbul (2018)

    Google Scholar 

  • Wang, S.J.: Fields Interaction Design (FID): The Answer to Ubiquitous Computing Supported Environments in the Post-information Age. Homa & Sekey Books, Paramus (2013)

    Google Scholar 

  • Wang, S.J., Moriarty, P.: Big Data for Urban Health and Well-Being. In: Wang, S.J., Moriarty, P. (eds.) Big Data for Urban Sustainability. Springer, Cham (2018). https://doi.org/10.1007/978-3-319-73610-5_7

    Chapter  Google Scholar 

  • Woods, D.L., et al.: Carbon footprint of robotically-assisted laparoscopy, laparoscopy and laparotomy: a comparison. Int. J. Med. Robot. Comput. Assist. Surg. 11(4), 406–412 (2015)

    Article  Google Scholar 

  • Yan, J.R., Oreskovich, S., Oduwole, K., Horner, N., Khanna, V., Adili, A.: Cement waste during primary total knee arthroplasty and its effect on cost savings: an institutional analysis. Cureus 10(11), 1–9 (2018)

    Google Scholar 

  • Yan, W., Ding, M., Kong, B., Xi, X., Zhou, M.: Lightweight splint design for individualized treatment of distal radius fracture. J. Med. Syst. 43(8), 1–10 (2019). https://doi.org/10.1007/s10916-019-1404-4

    Article  Google Scholar 

  • Yang, M., et al.: Application of 3D rapid prototyping technology in posterior corrective surgery for Lenke 1 adolescent idiopathic. Medicine (Baltimore) 94(8), 1–8 (2015)

    Article  Google Scholar 

  • Yazer, M.H.: Auditing as a means of detecting waste. International Society of Blood Transfusion Science Series 13, 29–34 (2018)

    Google Scholar 

  • Zambrano-Monserrate, M.A., Ruano, M.A., Sanchez-Alcade, L.: Indirect effects of COVID-19 on the environment. Sci. Total Environ. 728, 138813 (2020)

    Article  Google Scholar 

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Acknowledgements

The authors would like to acknowledge the funding support for this publication, Project P0032185, the Hong Kong Polytechnic University. We would like to thank the reviewers for their relevant and detailed feedback on the initial draft of this paper.

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Correspondence to Stephen Jia Wang .

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Arun Kumar, P., Wang, S.J. (2021). The Design Intervention Opportunities to Reduce Procedural-Caused Healthcare Waste Under the Industry 4.0 Context – A Scoping Review. In: Brooks, A., Brooks, E.I., Jonathan, D. (eds) Interactivity and Game Creation. ArtsIT 2020. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 367. Springer, Cham. https://doi.org/10.1007/978-3-030-73426-8_27

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