title: Environmental auditing in hospitals: approach and implementation in an university hospital.
abstract: Medical audit in infection control today is accepted as an important element in the quality assurance of health care. In contrast, environmental auditing, which was approved in 1993 by the Council of the European Communities for industry ("Eco-Management and Audit Scheme-EMAS), has not so far been used as a tool to control and reduce environmental pollution caused by medical care in hospitals. The aim of this study was to investigate, whether environmental auditing in hospitals is useful. This process should also be cost effective. In this paper, methodological and organizational issues are described. Initially an environmental review of activities at the University Hospital, Freiburg and an eco-analysis of the input and output were performed. The first results of the study and a critical discussion will be presented in another paper.
authors.affiliation: Institute for Environmental Medicine and Hospital Epidemiology, University Hospital, Freiburg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Dettenkofer
authors.forename: K
authors.initials: K
authors.lastname: Kümmerer
authors.forename: A
authors.initials: A
authors.lastname: Schuster
authors.forename: M
authors.initials: M
authors.lastname: Mühlich
authors.forename: M
authors.initials: M
authors.lastname: Scherrer
authors.forename: F D
authors.initials: FD
authors.lastname: Daschner
mesh_terms: D003246:Conservation of Energy Resources; D003362:Cost-Benefit Analysis; D004782:Environmental Health; D006785:Hospitals, University / Q000592:standards*; D006801:Humans; D008330:Management Audit; D017744:Medical Waste Disposal / Q000592:standards*; D016730:Program Development
chemical_list: D017744:Medical Waste Disposal