British journal of anaesthesia
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Observational Study
Environmental and economic impact of sustainable anaesthesia interventions: a single-centre retrospective observational study.
Anaesthesia contributes substantially to the environmental impact of healthcare. To reduce the ecological footprint of anaesthesia, a set of sustainability interventions was implemented in the University Hospital Zurich, Switzerland. This study evaluates the environmental and economic implications of these interventions. ⋯ Implementing sustainable anaesthesia interventions can significantly reduce the environmental impact and cost of anaesthesia.
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Authorship provides academic recognition for substantial intellectual contributions to scholarly articles. Beyond recognition, authorship has become a form of currency within the academic community, acting as an indicator of academic output and thus influencing standing within an institution and the general medical community. ⋯ Unfortunately, this emphasis on authorship has also been linked to instances of misconduct. We discuss our personal experience with editorial misconduct hoping to highlight the issue and thereby increase awareness and peer-to-peer control to reduce future authorship misconduct and to encourage others to speak up.
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Clinical guidelines and consensus statements are an essential aid to clinical practice. However, they bring with them risks. ⋯ This editorial explores the challenges of producing robust consensus statements and guidelines that have impact, and identifies current frameworks for addressing these. It is important to conduct clinical consensus exercises using recognised and accepted methodologies.