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The Environmental Sustainability Gap in Clinical Trials: Workforce Attitudes, Barriers, and Emerging Practice from an International Survey

October 2026 This report presents the findings of our BIG Clinical Trials Sustainability Survey. The survey gathered 181 responses from clinical trial professionals across five continents. Respondents worked for sponsors, CROs, investigational sites, laboratories and supply vendors, on both commercial and publicly funded trials. The results show a community that is convinced of the case Continue reading “The Environmental Sustainability Gap in Clinical Trials: Workforce Attitudes, Barriers, and Emerging Practice from an International Survey”

Appraisal of Environmental Impact of Hospital Activities at ULS de Braga, Portugal

It is recognised that health and care systems are undergoing transformative global change to adapt to the needs of patients and communities, with increasing pressure to be financially, socially and environmentally sustainable. Appraising the sustainability of care pathways is seen as a crucial step to enabling a more sustainable health system. To facilitate the completion Continue reading “Appraisal of Environmental Impact of Hospital Activities at ULS de Braga, Portugal”

Environmental Impact of Outpatient Parenteral Antimicrobial Therapy

This case study from Sustainable Healthcare Coalition member, Baxter Healthcare Limited assesses the care pathway impacts of four different scenarios for intravenous antimicrobial therapy administration, including delivery to inpatients and three Outpatient Parenteral Antimicrobial Therapy (OPAT) scenarios. The inpatient scenario was found to have significantly higher climate change, water use and waste impacts per patient Continue reading “Environmental Impact of Outpatient Parenteral Antimicrobial Therapy”

Appraisal of Environmental Impact of Hospital Activities at St Joseph’s Healthcare, Hamilton, Canada

Appraising the sustainability of care pathways is seen as a crucial step to enabling health systems undergoing transformative global change to adapt to the needs of patients and communities, with increasing pressure to be financially, socially and environmentally sustainable. To facilitate the completion of care pathway assessments, it is necessary to generate data that characterises Continue reading “Appraisal of Environmental Impact of Hospital Activities at St Joseph’s Healthcare, Hamilton, Canada”

An environmental impact assessment of Total Hip Arthroplasty (THA) surgery

It is recognised that health and care systems are undergoing transformative global change to adapt to the needs of patients and communities, with increasing pressure to be financially, socially and environmentally sustainable. Appraising the sustainability of care pathways is seen as a crucial step to enabling a more sustainable health system. Total Hip Arthroplasty (THA), Continue reading “An environmental impact assessment of Total Hip Arthroplasty (THA) surgery”

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