Can healthcare go green without compromising safety?

US hospitals generate nearly six million tons of waste each year, with a significant portion coming from the operating room and single-use devices. Single-use devices are criticized for their environmental impact, but they are necessary in settings like organ transplantation to protect them from infection. The reuse of single-use devices is only permitted under strict conditions, and even small lapses in sterility can lead to serious complications. The real impact of sustainability lies in the systems built around the product, not just the product itself. The way products are moved, managed, and used can significantly reduce waste and emissions. For example, shifting from air transport to road transport can cut emissions and give teams control over product arrival. What happens after delivery also matters, as inefficient habits can lead to waste and unnecessary emissions. Sustainability must be considered in the decisions made around the product, as recyclability alone cannot negate the carbon footprint of wasteful shipping and production. Small changes, such as reducing private air travel and avoiding emergency shipments, can add up over time and make a significant impact. Healthcare leaders should examine the systems tied to a product and make deliberate improvements to reduce waste without compromising patient care.