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Yeşil hastaneler ve yalın yönetim

Year 2025, Volume: 12 Issue: 1, 176 - 184, 17.04.2025

Nevzat Kahveci

Abstract

Kirlilik, küresel ısınma, iklim değişikliği, sınırlı enerji kaynaklarının ve doğal kaynakların hızla ve bilinçsizce tüketilmesi, atıkların bertaraf edilmemesi, insanlığı olumsuz etkilemektedir. Bu olumsuzluklar kaynakları azaltırken atmosferi de sera gazları ile doldurulmaktadır.
Sağlık sistemleri toplam sera gazı emisyonlarının yaklaşık %5'ini oluşturmaktadır. Süreçlerde iyileştirmeler yapılmazsa bu miktarın 2050 yılına kadar üç katına çıkabileceği öngörülmektedir. Sağlık tesisleri, 24 saat çalıştıkları için diğer tüm bina türlerinden metrekare başına daha fazla enerji tüketmekte ve binlerce ton farklı türde atık üretmektedir. Sağlık kuruluşlarının olumsuz çevresel etkileri için daha fazla sorumluluk almaları ve genel ayak izlerini azaltmak için etkili yeşil uygulamalar geliştirmeleri gerekmektedir.
Yeşil Hastane Binalarının inşası ve mevcut binaların restore edilerek uygun yönetim modelleri tercih edilmelidir. Bu yönetim tercihinde her türlü israfın önüne geçilmesi, çevreye duyarlı ve çevre dostu bina tasarımları ile hizmet sunum sürecinde de çevre dostu olabilmek önceliktir. Genel bakışın dışında israf yönetimi, otopark ve hastane çevresinin yeşillendirilmesi, kırtasiye malzemelerinde israfın azaltılması gibi pek çok konu sürdürülebilirlik kapsamında ele alınmaktadır.
Yalın yönetim araçları süreçlerdeki israfı ortadan kaldıran düşünce biçimi ile sürdürülebilirliğin temel taşlarını oluşturmaktadır. Yalın yönetim modelinde en yaygın olarak kullandığımız “Güncel Değer Akış Haritası” yöntemini aynı zamanda “Yeşil Değer Akış Haritası” olarak da kullanmaya başlamalıyız. Her işlem adımı için kullandığımız bilgi kutucuklarında yeşil israfların ölçülmesi ile elde edilecek verilerin analizi sürdürülebilirlik adımlarını belirlemede yol gösterici olacaktır. Değer Akış Haritalama tekniği dışında 5S, Tam Zamanında Üretim ve Standart İş gibi yalın araçlarda yeşil israfların azaltılmasında kullanabileceğimiz önemli araçlardır.

Keywords

Yeşil hastane Yalın yönetim Ekolojik ayak izi

References

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  • Blenkharn, J.I. (2006). Standards of clinical waste management in UK hospitals. J. Hosp. Infect., 62(3),300-303. https://doi.org/10.1016/j.jhin.2005.08.005
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  • De Oliveira, K.B., dos Santos, E.F., Neto, A.F., de Mello Santos, V.H., de Oliveira O.J. (2021). Guidelines for efficient and sustainable energy management in hospital buildings. J. Clean. Prod., 329. https://doi.org/10.1016/j.jclepro.2021.129644
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  • Langstaff, K., Brzozowski V. (2017). Managing environmental sustainability in a healthcare setting. Healthc Manage Forum, 30(2): 84-88. https://doi.org/10.1177/0840470416675178
  • Lattanzio, S., Stefanizzi, P., D'ambrosio, M., Cuscianna, E., Riformato, G., Migliore, G., Tafuri, S., & Bianchi, F. (2022). Waste Management and the Perspective of a Green Hospital—A Systematic Narrative Review. International Journal of Environmental Research and Public Health, 19. https://doi.org/10.3390/ijerph192315812
  • Marino, A., Pariso P. (2023). Digital innovation government: organizational and energy analysis in Italian hospitals. Entrepreneurship and Sustainability Issues, 10(3), 214. https://doi.org/10.32479/ijeep.13951
  • Miao, Y., Yu, D.S.F., Tan, W., Lau, S., Lau S.S.Y., Tao, Y. (2024). Crafting Sustainable Healthcare Environments Using Green Building Ratings for Aging Societies. Sustainability. 16(5), 1954. https://doi.org/10.3390/su16051954
  • Mortimer F, Isherwood J, Wilkinson A, Vaux E. (2018). Sustainability in quality improvement: redefining value. Future Healthcare J. 5(2),88-93. doi:10.7861/futurehosp.5-2-88
  • Naerac, J., Sremčev, N., & Ćirić, D. (2024). Integrating lean principles with environmental sustainability for enhanced ecological performance. Conference: XIV International Conference on Industrial Engineering and Environmental Protection, 1, 492–498. https://doi.org/10.46793/iizs24.492n
  • Or, Z., Seppanen, A. (2024). The role of the health sector in tackling climate change: A narrative review. Health policy, 143, 105053. https://doi.org/10.1016/j.healthpol.2024.105053
  • Osman, A. A., Kamar, A. N. N., & Rahamaddulla, S. R. (2023). Towards Achieving a Sustainable Lean Transformation : Measuring Tangible and Intangible Gains. Innovation, Strategy, and Transformation Frameworks for the Modern Enterprise, IGI Global 28.. https://doi.org/10.4018/979-8-3693-0458-7.ch003
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Green hospitals and lean management

Year 2025, Volume: 12 Issue: 1, 176 - 184, 17.04.2025

Nevzat Kahveci

Abstract

Pollution, global warming, climate change, the rapid and reckless consumption of limited energy and natural resources, and the failure to properly dispose of waste negatively impact humanity. These issues not only deplete resources but also fill the atmosphere with greenhouse gases.
Health systems account for around 5% of total greenhouse gas emissions. If process improvements are not made, this amount is projected to triple by 2050. Healthcare facilities consume more energy per square meter than any other type of building since they operate 24/7 and generate thousands of tons of various types of waste. Healthcare institutions need to take more responsibility for their negative environmental impacts and develop effective green practices to reduce their overall footprint.
The construction of Green Hospital Buildings and the restoration of existing buildings should be prioritized, along with the adoption of appropriate management models. In this management approach, preventing all forms of waste, implementing environmentally conscious and eco-friendly building designs, and ensuring sustainability in service delivery are the key priorities. Beyond the general perspective, various topics such as waste management, greening of parking areas and hospital surroundings, and reducing waste in office supplies are addressed within the scope of sustainability.
Lean management tools form the foundation of sustainability by eliminating waste in processes through a waste-free mindset. The widely applied “Current State Value Stream Mapping” method in lean management should be used as a “Green Value Stream Mapping” approach as well. Analyzing the data obtained by measuring green waste in the information boxes used for each process step can serve as a guide in determining sustainability steps. Beyond Value Stream Mapping, other lean tools such as 5S, Just-in-Time Production, and Standardized Work are also essential for reducing green waste.

Keywords

Green hospital Lean management Ecological footprint

References

  • Akdag, H.C., Beldek, T. (2019). Green Hospital Together with a Lean Healthcare System. In: Calisir, F., Cevikcan, E., Camgoz Akdag, H. (eds) Industrial Engineering in the Big Data Era. Lecture Notes in Management and Industrial Engineering. Springer, Cham. https://doi.org/10.1007/978-3-030-03317-0_37
  • Aslan, Y., Zeybek, D.Ö., Zengin, O., Kavşur, Z., Güler, S. (2023). Sağlık Sektörü Çalışanlarının Sürdürülebilir Kalkınma Farkındalık Düzeylerinin Değerlendirilmesi: Üniversite Hastanesi Örneği. Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 25(3),1069-1098. https://doi.org/10.26745/ahbvuibfd.1239635
  • Awan, F., Liu, D., Jamil, K., Mustafa, S., Atif, M., Gul, R., & Qin, G. (2022). Mediating Role of Green Supply Chain Management Between Lean Manufacturing Practices and Sustainable Performance. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.810504
  • Blenkharn, J.I. (2006). Standards of clinical waste management in UK hospitals. J. Hosp. Infect., 62(3),300-303. https://doi.org/10.1016/j.jhin.2005.08.005
  • Chiarini, A., Vagnoni E. (2016). Environmental sustainability in European public healthcare: could it just be a matter of leadership? Leader. Health Serv., 29(1), 2-8. https://doi.org/10.1108/LHS-10-2015-0035
  • De Oliveira, K.B., dos Santos, E.F., Neto, A.F., de Mello Santos, V.H., de Oliveira O.J. (2021). Guidelines for efficient and sustainable energy management in hospital buildings. J. Clean. Prod., 329. https://doi.org/10.1016/j.jclepro.2021.129644
  • De Oliveira, K.B., dos Santos, E.F., Neto, A.F., de Mello Santos, V.H., de Oliveira O.J. (2021). Guidelines for efficient and sustainable energy management in hospital buildings. J. Clean. Prod., 329. https://doi.org/10.1016/j.jclepro.2021.129644
  • Dieste, M., Panizzolo, R., Garza‐Reyes, J., & Anosike, A. (2019). The relationship between lean and environmental performance: Practices and measures. Journal of Cleaner Production, 224. https://doi.org/10.1016/J.JCLEPRO.2019.03.243
  • Dion, H., Evans M. (2024). Strategic frameworks for sustainability and corporate governance in healthcare facilities; approaches to energy-efficient hospital management. Benchmark Int. J., 31(2), 353-390. https://doi.org/10.1108/bij-04-2022-0219
  • Dünya Limit Aşım Günü (2024), https://overshoot.footprintnetwork.org/
  • Fercoq, A., Lamouri, S., & Carbone, V. (2016). Lean/Green integration focused on waste reduction techniques. Journal of Cleaner Production, 137, 567-578. https://doi.org/10.1016/J.JCLEPRO.2016.07.107
  • Franco, A., Shaker, M., Kalubi, D., Hostettler S. (2017). A review of sustainable energy access and technologies for healthcare facilities in the Global South Sustain. Energy Technol. Assessments, 22, 92-105. https://doi.org/10.1016/j.seta.2017.02.022
  • Galli, A., Giampietro, M., Goldfinger, S., Lazarus, E., Lin, D., Saltelli, A., Wackernagel, M., & Müller, F. (2016). Questioning the Ecological Footprint. Ecological Indicators, 69, 224-232. https://doi.org/10.1016/J.ECOLIND.2016.04.014.
  • Hallam, C., & Contreras, C. (2016). Integrating lean and green management. Management Decision, 54, 2157-2187. https://doi.org/10.1108/MD-04-2016-0259
  • Han, S., Jeong, Y., Lee, K., & In, J. (2024). Environmental sustainability in health care: An empirical investigation of US hospitals. Business Strategy and the Environment. 33, 6045–6065. https://doi.org/10.1002/bse.3790
  • Hess, J., Eidson, M., Tlumak, J., Raab, K., Luber, G. (2014). An evidence-based public health approach to climate change adaptation. Environmental Health Perspectives, 122(11), 1177–1186. https://doi.org/10.1289/ehp.1307396
  • Hicks, C., McGovern, T., Prior, G., Smith, I. (2015). Applying lean principles to the design of healthcare facilities. International Journal of Production Economics. 170, 677-686. https://doi.org/10.1016/J.IJPE.2015.05.029
  • Jain, N., Burman, E., Stamp, S., Shrubsole, C., Bunn, R., Oberman, T., et al. (2021). Building performance evaluation of a new hospital building in the UK: balancing indoor environmental quality and energy performance. Atmosphere, 12(1), 115. https://doi.org/10.3390/atmos12010115
  • Kaban, L. M. (2023). Unveiling the Sustainability of Lean Production. Asian Journal of Economics. Business and Accounting, 23(22) 435-440. https://doi.org/10.9734/ajeba/2023/v23i221163
  • Ketiš, Z. K., Rochfort, A. (2022). Sustainability for Planetary Health: A Seventh Domain of Quality in Primary Care. Slovenian Journal of Public Health. 61:198-200. https://doi.org/10.2478/sjph-2022-0026
  • Koide, R., Kojima, S., Nansai, K., Lettenmeier, M., Asakawa, K., Liu, C., Murakami, S. (2021). Exploring carbon footprint reduction pathways through urban lifestyle changes: a practical approach applied to Japanese cities. Environ. Res. Lett. 16(8). https://doi.org/10.1088/1748-9326/ac0e64
  • Lai, J., Hou, C., Edwards, D., Yuen, P.L. (2021). An analytic network process model for hospital facilities management performance evaluation. Facilities. ahead-of-print. 10.1108/F-09-2021-0082
  • Langstaff, K., Brzozowski V. (2017). Managing environmental sustainability in a healthcare setting. Healthc Manage Forum, 30(2): 84-88. https://doi.org/10.1177/0840470416675178
  • Lattanzio, S., Stefanizzi, P., D'ambrosio, M., Cuscianna, E., Riformato, G., Migliore, G., Tafuri, S., & Bianchi, F. (2022). Waste Management and the Perspective of a Green Hospital—A Systematic Narrative Review. International Journal of Environmental Research and Public Health, 19. https://doi.org/10.3390/ijerph192315812
  • Marino, A., Pariso P. (2023). Digital innovation government: organizational and energy analysis in Italian hospitals. Entrepreneurship and Sustainability Issues, 10(3), 214. https://doi.org/10.32479/ijeep.13951
  • Miao, Y., Yu, D.S.F., Tan, W., Lau, S., Lau S.S.Y., Tao, Y. (2024). Crafting Sustainable Healthcare Environments Using Green Building Ratings for Aging Societies. Sustainability. 16(5), 1954. https://doi.org/10.3390/su16051954
  • Mortimer F, Isherwood J, Wilkinson A, Vaux E. (2018). Sustainability in quality improvement: redefining value. Future Healthcare J. 5(2),88-93. doi:10.7861/futurehosp.5-2-88
  • Naerac, J., Sremčev, N., & Ćirić, D. (2024). Integrating lean principles with environmental sustainability for enhanced ecological performance. Conference: XIV International Conference on Industrial Engineering and Environmental Protection, 1, 492–498. https://doi.org/10.46793/iizs24.492n
  • Or, Z., Seppanen, A. (2024). The role of the health sector in tackling climate change: A narrative review. Health policy, 143, 105053. https://doi.org/10.1016/j.healthpol.2024.105053
  • Osman, A. A., Kamar, A. N. N., & Rahamaddulla, S. R. (2023). Towards Achieving a Sustainable Lean Transformation : Measuring Tangible and Intangible Gains. Innovation, Strategy, and Transformation Frameworks for the Modern Enterprise, IGI Global 28.. https://doi.org/10.4018/979-8-3693-0458-7.ch003
  • Parkhi, S. (2019). Lean management practices in healthcare sector: a literature review. Benchmarking: An International Journal. 26(4), 1275-1289 https://doi.org/10.1108/BIJ-06-2018-0166
  • Paulus, N. (2024). Developing individual carbon footprint reduction pathways from carbon budgets: Examples with Wallonia and France. Renewable and Sustainable Energy Reviews, 198, 114428. https://doi.org/10.1016/j.rser.2024.114428
  • Pichler, P., Jaccard, I., Weisz, U., Weisz, H. (2019). International comparison of health care carbon footprints. Environmental Research Letters, 14(6), 064004. https://doi.org/10.1088/1748-9326/ab19e1
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Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review Article
Authors

Nevzat Kahveci 0000-0003-0841-8201

Publication Date April 17, 2025
Submission Date February 24, 2025
Acceptance Date March 15, 2025
Published in Issue Year 2025 Volume: 12 Issue: 1

Cite

APA Kahveci, N. (2025). Yeşil hastaneler ve yalın yönetim. Sağlık Akademisyenleri Dergisi, 12(1), 176-184.
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