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uncertainty
and also while we are performing our assessment
changes in time and location
small changes in the value chain may
already cause that the results we produce are outdated
so we need to learn how to deal with this
so the first example
i just said
is that we need to improve data for specific product groups
so if we're zooming in at chemical products and medicines
it's quite obvious to see that
we're not there yet because
we do see some specific useful data
for painkillers and antibiotics
i will show an example in the next slide
but there's also quite some data lacking
there's very little inventory data
there's
different chosen scopes in the studies that are published
at different environmental impact categories for instance
some studies do include transport and packaging of medicine
some look at land use and other only at climate change
so this makes it challenging to compare the different studies
and we're also missing open and reliable data
for instance for the life uh
cycle inventory data it's very important to know
which kind of resources are used
and how much for specific active ingredients
and here's more data listed that uh is missing
so here you see a picture from our
upcoming reporters will be published
open access at our website soon in October
you can find the details on the slide
and here i just want to don't
look too much at the details but the idea is on the
left you see different medicine
and then you see the process of establishing
what kind of emission factors for medicine
maybe there so first you have the medicine
then you need to know the daily dose so if that medicine
you need to know the active amount of active
ingredient for those
which may differ depending on how the medicine is administered
so if it's early or parentally
there may be a different amount of active ingredient produce
and then you need the amount of xio 2
equivalent per active ingredient
so on the right you see the
numbers representing the amount of co2
equivalent for daily dose
and this gives you some insight
on the greenhouse gas emissions for medicine however
it's very important to realize
this is only on the active ingredients
we are missing
information of the greenhouse gas emissions for the editives
the packaging transport and so on
also it's only looking at the climate change effects
we're missing other environmental impacts
such as ecotoxicity or land use
so what this tells us is it's very valuable to have these first
insights to see
which production processes in the value
chain may need to be more sustainable
and what kind of data we further needs
it does not tell us
which medicine is more sustainable it's important to realize
but these are first steps
to greener and more sustainable
product groups
so in conclusion
we have established the first
national environmental footprint for the Dutch healthcare
sector we've looked at different environmental impacts
we've seen that chemical products including medicines
have a significant environmental impact
we chose that it's really important to look both at
direct and indirect effects
we've seen that we need a higher
level of detail for perspectives of action for
different healthcare organizations and individuals
but for this we really need quality data
we would also like to have more best practices examples from
and for healthcare providers that are practical
and easy to use and easy to understand
to have more sustainable initiatives
so the next steps for the environmental food print can be
that we use the food print for scenario modeling
so we look at different future scenarios
and then see how we can improve
sustainability of the healthcare sector by using
modeling of the footprint for the different future scenarios
and we can also use it
for monitoring so we can measure the current situation
and then after a few years to see if there's any progress in
lessening the environmental impact
from our studies
we have several recommendations
which are also
will be published in English in our upcoming reports in October
but here are some that i want to highlight
so we recommend the producers of medicine
scary and protective equipments
will share data and study results open access
we also think that it would be good if healthcare
sector stakeholders
government knowledge institutes
cooperate and set up a plan and system to probably share and
maintain accessible data because
you need some kind of
open access database that provides quality data and transparent
if you want to proceed in monitoring
all the difference initiatives and effects
of more sustainable healthcare
and also
we need stakeholders to cooperate international value change
with common agreed goals on definitions of health
climate change
preserving nature and circular economy in order to proceed
as you have seen in our presentation is that
many effects along the value chain internationally
and therefore collaboration is very important
so we've looked at how we can establish
a national environmental footprints
but how to come from these results to particular actions
we think that
while we're improving the environmental footprints
the coming years like
i said we need to add a higher level of detail
looking at different product groups
different types of organizations improving those results
at the same time
while improving the study results we have to
already start our actions
and we can we can already do quite a lot
by instance
by these three steps that are depicted here in the slides
the first
one is choosing a focus as i've shown in my presentation
you can choose for instance to zoom in at food and catering
or to look better at the chemical products and medicines
that are being used in an organization or for
specific treatments in healthcare
after choosing this focus you can select different measures
and in this picture you see the four types of measures you can
already start
with the first one is
organizational responsibility
the second one is creating awareness
the third one is procurement and the fourth one
is value chain dialogues
and we believe
that these measures really help to improve the sustainability
of a product group
value chains or surfaces in the
reference below you can find
more information on these three steps
and the last step is to monitor the effects and adjust
because of course
it's important to choose focus to select measures
but then we want to know if this helps or not
what have we learned
what can we share what which knowledge can we share
that's beneficial to improve the sustainability
so really by these three steps and also by learning by doing
we can improve sustainable healthcare so by
caring in a sustainable way
for public health now
we also help to improve public health in the future
so this was my
presentation thank you very much for your attention
i hope it was clear and if there's any questions
i'd be happy to address them you can find the email
below or of course ask
Nico and i want to thank
nicos kitikota
for giving us the opportunity to share our results
i want to thank
my colleagues and the ministry of health welfare
and sports in particular esterpetman
who helped us setting up this project and sharing our results
thank you very much and have a nice day
hi everyone i'm Susan of Irish honor Nope
非常感谢那个苏晨娜博士哈
因为
刚才这段呢是苏珊娜的一个录像
但是苏珊娜博士也在线上等候大家
交流讨论啊
刚才这个苏珊娜博士给我们介绍了
医疗行业绿色可实际
发展的这个重要性和必要性
也为我们提供了
这个医疗行业绿色低碳的
这个研究策略啊
包括我们
要先选择重点的这个排放领域
如何组织实施啊
四步的实施方式
然后包括
我们最后最终的这个监控效果
并不断的调整这个策略
同时也为我们展示了啊
药品的碳排放的计算方法
给了我们这个方法上的一个借鉴啊
特别是强调了
包括药物在内的化学产品的碳排放
占呃很大的一个比例啊
包括食品和餐饮的环境影响
也是非常突出的啊
刷新了我们这个一个认知啊
因为我们往常主要是以我们这个
更多观众关注这个医院的交通啊
能源啊电力热力这方面啊
建筑这块
嗯但是我们的这个现在目前
可以看到这个
通过苏联娜这个教授的研究呢
在其他方面
其实也是我们不容忽视的啊
包括我们医疗的更多领域
而且我刚才也看到
就是说其实我们这个
当时题目翻译叫碳碳足迹
其实研究的更多的现在是环境足迹
可能不仅仅是一个碳足迹的问题哈
呃这个
呃苏联大博士也在线上恭候大家
看看大家有没有什么问题
需要跟苏娜娜博士交交流的
那个
嗯可以打开这个屏幕吗看一下
苏晨打博士您在吗
yes i'm there thank you very much for
this opportunity uh decisions
and i'd be happy to ask her some questions
哎好您好
这个呃我想请教您一下哈
就是刚才我看到您说这个碳呃
环境足迹
环境足迹这里面包括的相关内容在起
除了碳足迹之外
其他领域其他的方面
还有没有定定量的研究
um thank you
thank you for your question
yes we have
we have now
published also the results in English
these includes the total amount of
greenhouse gas conditions indeed
but also
the abiotic raw material use
which is more than 33 000
a Kilo tones per year
so that's minerals and metal use
and also the blue water constantion
the land use in the waste production
and for instance
the waste production is more of almost 5
000 Kilo tones per year in the Netherlands that comes from here
healthcare sector
i hope this answers your question
好谢谢谢谢您啊
就是很希望
下一步能跟您更多的交流啊
借鉴您这个研究方法
刚才那个孙娜博士也说到了
就是我们医疗行业
温室气体排放占全国的这个6%到8%
呃我是感觉我们作为中国
可能还缺乏相关的一个研究数据啊
呃今天的这个孙大博士研究结果
也为我们医疗行业双碳发展呢
提供了相应的这个方向和方法啊
可以借鉴啊
好
那么刚才这个这个感谢孙大博士哈
再次感谢
然后下面呢
有请我们第二位演讲嘉
宾啊我们第二位演讲嘉宾是我们
这个北京大学
第三医院总务处的邓超副处长啊
北医三院呢是我们国家
国家机关事务管理局评出的
公共机构能效领跑者示范单位啊
也是44家这个委书馆
这个医院里边节能
工作做得非常的突出的这个医院啊
呃
也是我们绿色医院专委会的副主任
委员单位啊
一直非常重视医院的能耗管理工作
今天呃
邓处给我们带来的这个题目是
以医院用能数据为导向的能源
精益管理
大家掌声欢迎
啊尊敬的各位领导各位与会嘉宾
大家下午好啊
很荣幸能够受邀受邀参加此次会议啊
我今天分享的内容是以
医院用能数据为导向的
能源经济管理
我将从以下四个方面来展开我的介绍
啊首先介绍一下我们医院啊
我们医院1955年进行设计57年开工建设
58年12月正式急诊病人
是国家卫生健康委维管医院
及医疗教学科研预防保健康复
与健康管理为一体的综合性
三级甲等医院
截止2022年12月医院平均开放床位2,332张
11年来医疗服务量和效率
也是居于北京市前列
2022年门基诊量超过435万人次
出院患者十四点
呃5万人次完成手术8.1万例次
平均住院日4.65天
为全国领先水平
啊
再来看一下我们医院的一个能耗特点
我们医院所处的这个区
气候为典型的暖温带
伴湿润大都型季风气候
夏季高温多雨冬季寒冷干燥
春秋短促导致供暖供暖需求比较大
此外医院建筑
卫星多修建时间跨度大
不同建筑耗能特点差异也比较大
同时随着医院快速集团化的发展
导致医院建筑面积也是逐年增加
能耗总量出现上升
所以说对于医院来讲
在这个碳综合
以及医院高质量发展的背景下
做好节能降碳工作控制运营成本
具有十分重要的意义
啊那对于医院的节能目标
从这个大的层次来讲
第75届联合国大会啊
习总书记做一般性辩论讲话
他提到
二氧化碳排放力争于2030年前达到峰值
努力争取2060年前实现碳综合
此外国务院办公厅
关于推动医院高质量发展的意见
以及国家卫生健康委办公厅
关于工地医院既要考核通知
也对节能降号有着明确的要求
所以说对于医院来讲
目前的一个节能目标就是截止到2025年
我们实现万元收入
能耗支出保持下降的趋势
完成国家十四五呃各项规划任务
那为了完成这个目标
我们首先
搭建了由这个医院领导
班子作为决策层
各职能部门负责人作为执行机构
全体职工参与的三级组织框架
同时总务处作为
医院能源管理的主要组织
以及实时的部门
时刻以标准化专业化规范化
信息化精细化为工作要求
在总处原有9大科室27个班组的基础上
搭建了能源管理平台指控平台
采购平台教学平台
科研平台和管理工具平台
形成了这种矩阵式的管理架构
为医院能源管理工作的有序开展
奠定基础
同时医院还十分注重后
勤人才引进与培养
我们通过编制岗位说明书
明确岗位职责
从而确保这个人才引进的合体化
后期也是通过新员工3年培训体系
在这个相关科室由代教人轮转培训
同时参与重要能源项管理工作
夯实基础储备人才
通过这个学科以及
佛行人才体系的搭建
我们全面提升了医院能源管理水平
管理制度是落实各样工作依据
我们从能源管理文件技术文件
节能制度岗位职责等几个方面
建立了全面的能源管理制度
后期
我们也是严格按照制度落实各样工作
此外我们还建立了
详细的用能设备设施的台帐
对于重点的用能设备系统的操作岗位
配备专业的技术人员啊
对用能系统定期进行维护保养
并建成我院设备前实木周期系统
全面促进了用能设备的经济化管理
同时医院还从优化能源消费全过程
管理的这个角度出发
按照能源管理体系的要求
结合我院能源管理特点
建成了一套适合我院规范
专业系统的能源管理体系
通过这个体系的运用以及不断完善
进一步提升了我院能源管理水平
资金的投入也是必不可少
自2014年至今
我们也是通过政府资金
社会资金自筹资金的使用
加大了
对能源管理工作的一个支持力度
保证了医院节能项目的有序开展
那在多年的能源管理工作中
我们也是急于既往的经验
建立了这种闭环的能源管理策略
我们首先建立了能耗监管系统
接着我们对数据进行深度的分析
然后我们开展项的节能项目
并对节能效果进行评估
基于这种PDC的循环
我们实现
了以医院用能数据为导向
的能源精益管理
2015年 我们也是充分的利用维管资金
以及部分的自有资金
在原有能耗监测的基础上
按照医院建筑
能耗监管系统建设技术沼泽的要求
对医院全部的建筑
及重要的用能设施
进行分类分项的计量
合计监测点位1,498个
实现了对水电气热冷环境质量
分类计量统计分析以及报表的管理
后期也是持续整合分院期的计量系统
计量点位达到1,802个
能号监管系统建立完成之后
我们也是成立了能号监管中心
由专业的人员来管理专业的设备
此外
我们还完善了管理制度和运行规程
实现了系统的稳定运行
同时
我们还建立了标准化的数据分析流程
促进了能源管理的精细化管理
啊给大家介绍一下这个分析的流程
我们首先由这个能源统计科室
也就是也就是这个科室下边各级班组
充分的利用监管系统
完成能源资源继等台帐
并分析其逍遥的特点啊
接着然后由这个能源管理平台
收集计量台帐
并在例会上讨论能耗情况
总结存在的问题
并提出改进措施及方法
最后把这个分析结果交由驻合恩组
右边是我们这个
能源资源分析报告的一个样例
在这个分析过程中
我们可以从图中看到
电费占到医院整个能源资源费用的68%
电啊
天然气占到14%
水占到11% 啊
三者加在一起占到93%
那结合着这个消耗占比
这两张图我们可以看到
空调用电照明用电
供暖以及呃
热水用气是我们节能的一个重点
那今天由于时间有限啊
仅以空调为例
给大家做一个简单的分析
我们从这张图可以看到
空调用电占到了医院总用电量的30%-40%
占比最大啊
空调用电的情况
直接影响医院用电的一个总趋势
所以说空调节电也是医院
节电的一个首要工作
那我们医院这个装空调系统
主要由冷机多电机
净化空调以及新风系统构成
然后特点也是各不相同
从分项上看
冷机多电机系统占比最大啊
且随季节变化明显
所以说有效降低冷机多电机的能耗
是空调节能的重点
那数据分析完成之后
我们也是基于分析的结果
用科学的管理工具建立个节能项目库
基于这种PDC的管理工具
推进管理和技术节能项目的高效开展
啊自2014年至今
我们共开展8项管理节能措施
68项技术节能措施
均取得了显著的节能效果
除了这种管理节能和技术节能
我们还进行行为节能
我们通过加强
节约能源资源和生态文明
建设宣传引导
广泛的开展节能宣传周全国地摊日
等主题宣传活动
宣传节能知识提升员工的节能意识
呃
那经过多年节能工作的一个稳步推进
我们最终实现了
各项能耗指标大幅的稳步下降
2015-2022年
我们医院万元收入能耗
支出下降24.88%
能源资源费用占比下降23.33%
取得了显著的节能效果
特别是2019年2月
我们被国管局国家发改委和财政部
评选为节约型公共机构示范单位
20年12月
我们被国管局国家发改委和财政部
公布啊2019-2020年公共机构能效停保者
此外我们在这个案例评选
以及这个论文发表和书籍出版方面
均取得一定的成绩啊
第四部分是管理创新
以及未来的工作展望
那这个项目的管理创新一共有三点
第一点
就是我们在常规的组织架构基础上
搭建了能源教学科研
指控采购管理工具六大专业的平台
形成了这种符合型的人才体系
以及学科的建设
将能源管理
作为重点项目开展管理研究
第二点就是我们用平管思维
利用鱼骨图建立个节能项目库
基于这种PDC的循环
以及干特图等管理工具
推动了能源管理高效开展
第三点就是我们对能耗监管
系统项目从
设计施工运维到使用全过程
充分的与科研院所高校
以及第三方公司进行研讨
集合多方资源
促进了能源项目深化建设与完善
啊那未来
我们也将有三点的重要工作要做
第一点就是将继续重视
能耗监管系统的维护
研究数据并挖掘其技术的应用
第二点未来即能健康啊
降碳技术也将加速的变革
我们也将因地制
宜的探索医院探达方探综合的路径
第三点
我们将深入除能耗监管系统之外
其他医院信息化智能化的一个应用
推动医院
能源管理的经济发展好
以上就是我汇报的全部内容
谢谢大家
好谢谢邓楚啊
那个大家可以看到了
3院这些年应该是在节能这块
一个是工作领导非常重视
而且我觉得有一一批人马啊
就是都在为这方面做
非常大的贡献和努力
然后取得非常好的成绩
像国家2015年
当时在建能号监测平台的时候
大部分
这个能像这个三院又取得如此成绩的
还用的这么好的医院
其实是并不多的啊
就是我觉得也给我们
树立了一个就是典范吧
啊三院的也也希望这个就是后续
这个也邀请大家有机会一块到三院
再去交流学习哈
然后这个呃下面呢
我们就历史第三位我们的演讲嘉宾啊
这个刚才也听到这个我们邓楚说到了
在医院建筑这里边呢
就是空调站的这个能耗是非常大的
而且在这个
在医院整个的这个
这个整个建筑类型里啊
其实有一部分是特别重要的
就是我们的手术室啊
手术室虽然说
是一个是我们医院的关键性区域
而且集中了大量的这种
高精尖的这种设备和仪器
对环境的这种高要求
对能源的需求是更大啊
同时手术中刚才大家也看到了刚才
妮口这个给我们说的这个
手术中会产生大量的一种医疗垃圾
那么下面呢我们让我们了解一下啊
荷兰是如何在保障医疗效果的同时
降低这个手术室的碳排放的
下面就有请荷兰绿色
手术室网络平台主席
莱顿大学医学中心妇科医
生呃medicine
dirt主席啊
然后弗兰克呃
弗兰克博士
为我们带来手术中的探索记啊有请
thank you very much can you hear me
yes
okay please
well
first of all it's an honor and pleasure to be invited to give an
lecture and presentation about a carbon footprint on surgery
and i just tuned in a little bit earlier
and i understand that you're in China
also busy with this subject
and i into translation
the former speaker told me quite a lot
that you are working on it
so my compliments for that
it is told already that
let's see
am i still sharing
can you see the next picture
yes
i have i do have some disclosures
i'm the chairman of the Dutch national green o r federation
i will tell you something more about that
and i'm also the chair of the medical Delta
which is an working corporation
between the three universities of the Delf technical university
two medical sanders
and the university of Leiden and Volta garment
so we're working in the medical technology
and i'm also researching with engineers in a sustainable o r
in the Arian sea
as you can see here
uh
unfortunately um i'm sorry i have to go back
this is better
there is concern about surgery we train all the surges actually
to work efficiently
but also patient safe
and that's where we're working on with our residents
to work in this way if we do
in operation
however we also want to improve outcomes surgery
and that is not new because
sentries ago we tried
already with technology to improve the outcomes of surgery
actually and maybe the new future will see more like this
like robot who comes in in our surgical palais
and who's coming in into the o r
however there is other concern as you all know
and there we're talking about
we had to kofi's prices there is a recession
but the climate change is overwhelming actually
what we are working on and if we go on in the way
we are now doing
because as you can see here at the right side
there is a warning published in the lance at countdown recently
we have to work on sustainability otherwise
we get to see a two footprint which is too high
strange enough the climate change when we as doctors are working
to improve the outcome of the patients
due to climate change we see
all kinds of new diseases actually running up for example
due to air pollution
we see more respiratory illnesses
and due to the climate increase actually
we see for example
Malaria in Europe
which is introducing new diseases
so while we are doctors are working on
to heal the patient the
climate change will
cause the opposites so there's work to be done
but we are only well hopefully actually halfway
but we have to work on that before 2050 but actually in 2013
so what are the facts if i consider the surgery
the greenhouse gas emission is distort already globally
it produces two gigatons of co2
that's quite a lot and if you consider healthcare as a sector
actually as a country
it is the fifth large emitter
of ceo
emission to the world that's quite high
and if a consider only the operating room
the carbon footprint of one operation comes 452
230 kilograms of c o 2
and in my hospital we have more o rs of course and for example
if i'm working in a day on 25 o rs that means
and considering one that is one car which drives 20
000 kilometers a year
and for it to give you more example or more precise
25 o rs is one flight from Beijing and soda for example
so on daily basis i'm producing that
due to not only the things
which are working on the r
the healthcare produces
7 to 10 percent of national food print is totally
but in my hospital for example we consider that
one hospital bet produces 4000 kilograms of waste
and o r as specifically
produces twenty to thirty percent of all hospital wastage
and that is
due to the high energy consumption
the lemona flow will tell you more about that
the high number of consumables we are working with stereo
instruments goals as etc
but also the huge amount of weight production
due to paper use plastic cover
materials and disposables
and especially also
the nsdatics is a contributor to this cu 2 emission
here
you can see the waste production in the healthcare worldwide
well China is there on the map as well
and also of course
Europe
but you see at the left side of the United States is actually
the biggest producer of
the waste production
but the other countries are counting for that as well
so there is something to do
and here you see more detail
and what i want to highlight in this this
the slide is that
here you see at the left side the supply chain
of all the contributors to the cu 2 emission
but 62 percent is caused from the o r
and o r only contribute to approximately 6
percent of the square meters in a hospital
so it's rather it is of course
the heart
of the hospital
but on the other hand it is a very small one
but it produces most co2 front
of the hospital so there is a matter of concern
so that was the reason that we decided at
all surgeons who are working in the o r
to make a Dutch network of a green o r
and it is totally by a former speaker there was a green deal
signed by all hospitals that was the green
air 2.0 now we have to 3.0
but we decided that 16 surgical societies ear nose and throats
general surgery
gynecologists
plastic surgeries everyone in all working at the o r
to come together and bring us together
and to work in a Dutch network of the o r
because as you can see here the climate change is a big threat
and it produces quite a lot of waste
especially due to the
working with the disposable
instruments and aesthetics and medication waste
which is totally beneformer speaker
and therefore
we have a quite impact
and all medical professions decided to make a change
and working together together with all these
surgical professionals creates knowledge
but also evidence and power to work on a higher level
how to contribute or diminish the co2 footprints at search
and our mission was
to accelerate the sustainability of care processes in the or
and we want to make a transition within the operating rooms
leading to a reduction of the co2 footprint
and we actually are the first network in Holland
as leading and initiative
to the national sustainability of healthcare
and we have followers and followers are the intensive care
who's working together now
and the laboratories are working on that as well
so what did we do
actually with the green o r it's written in Dutch
the Huna Okang
but that is the green o r we have four pillars
one is about aesthetics and medication waste
one is about to energy
another one is on circularity and plastic waste
and we make a national sustainability guideline
i will go in detail shortly
there are three scopes of
co2 emission one is the direct emission
energy consumption is the second scope
and the third scope is way stitch
just to highlight if we consider the direct emission
this is caused by understanders
the use of safer free ram and desperate ram
is a quite heavy contributor to this
climate change if you consider the co2 footprint
a safer flu Ram
is still used and i Don't know how it's in China at this moment
but for example
des flu Ram is the worst
one bottle of small des flu Ram is approximately 600 than 80
800 km driving by car where a safer flu Ram is less
and in Holland
we actually push forward to use the introphinous and aesthetics
and that is broke of all
because that is only for one bottle is 1km in the bicar so we
challenge the anesthetiologist to work with the program for
and i challenge the hospitals as well
to work with interveneous analytics
the second scope is
the energy consumption and as the former speaker
dr dang Chao showed already in this hospital
and you have an emitter to watch the energy use
but we have in our o rs all o rs are
working on one lemon of flow
twenty four hours
seven days a weeks
and you can question if it is necessary for especially
for minimally invasive surgery
if it is worth to work in this environment however
for archipetics of course
that's a different story but if you diminish this by
cutting off or stopping
the lemon of flow during the weekends for
only have two or three o rs available during
during night time for emergencies versus arians you reduce
actually quite a lot of co2 as you can see here
and you even spare money for us as Dutch
it is in the thriftiness it's a good way to reduce our
to airport efficiently by reducing it
the third scope is actually
the worst for us as a work in the o r
that's the way stitch
and here i want to show you an innovation
i think it's implemented in
China as well
and i'm not against this instrumental is
a good example of a robotic surgery
which is shown here in the model as
the industry sells us quite
smartly actually the certain is sitting there
and the assistant is standing there however
in daily practice it look like this
and as you can see
it's all covered with
plastic material to keep it sterile and to work patient
safe and the patient is great as well
you even cannot see the patient and the
men and the assistant standing there is not a surgeon
but that assistant
so be aware of introducing new
innovations might not be sustainable at all
so we have to work on that
and i'm working in an academic hospital
so i want to show you some evidence about this
a recent study publishing
bitches journal show that yeah actually
a unsystematic analysis of literature on robotic surgery
with the accent on sustainability
says the enormous increase of environmental impact
due to robotic surgery
doesn't justify the proposed clinical advantage
actually of this type of surgery
and it considered
many abstracts six in studies were available
and was all on enemy vases procedures
and it says okay if we consider laprascopic surgery and
the robot
it produces approximately 6 to 800 kilo or co2 per case
and wasted was well 1.24
but also 40 kg of
wastage per case
and the robot produces 40 percent higher
greenhouse gas emission compared to the
straight stick minimum invasive laplus cupid surgery
and twenty four percent more waste
so be aware that if robotic is introduced
and they also advice from literature
they say okay reduce the disposable number
of instruments
and it was interesting we used the robot
and they said the instruments were only
working for 10 times and then you have to
buy another one but due to covid period
they said okay you can use it
15 times as well so this is more an economic model
compared to an unsustainable model
and it also advice from literature
they say okay
reduce to open all these instruments and
the non used instruments because at the o r
we usually work like
we're using all the instruments but be aware
open it if you use it only
and the education is
a very important one to to to
in the strategy to reduce the way stitch
in my specific field
in ganegology
you can do in history to me you can remove the wound
on four ways actually
and this was a very nice study done in the United States
where they say okay
you can do it abdominally with a scar you can do it for giantly
you can do it laproscopically or robotic surgery
and as you can see here in
in just the highlights of the study
you see that a robot produces
a three time higher
co2 footprint compared with a vagina distractant
and 60 percent more wasted
so we as doctors have to think in this way as well
and that was actually
the reason that i developed unsustainable or r in my hospital
in the strategy of the
r letter of circularity and this is a very important
letter and you have to consider that one in your mind
because if you want to be more sustainable
you can see that recycle and recover is actually
the lowest level of
reduction or sustainable
working way but refuse
reduce and reuse are the highest level of being sustainable
so we can recycle of course
and there will be a presentation about that as well
because it is better to recycle compared to
destroy
but on the other hand if you want to work more sustainable
you have to work in the refuse way as doctors reduce or reuse
you can see here
this is my accent what did we do in this sustainable
are we did some research
we started with the engineers working
for the technical university
because it's better to work with them
because if you ask a doctor
how to reduce the amount of instruments
you are working with
i only found in the reduction of 10 percent
but the expert opinion due to measurement of the engineer
showed that even our
containers of instruments could be reduced with 40 percent
because we Don't use all the instruments actually
and that's a reduction in sustainability
another study shows that for example
i Don't know how you work in China but all our instruments are
sterilized and packed in prony prope lane
as you can see here in the blue wrap
which is sterile and very handable
and working with that is very comfortable however
you can also use a box and this box is an investment advance
because you have to buy them
but it is more sustainable and we did an financial and
eco measurement on this
and we found it after the use of 20 times of this box
it was even a breaker and a brick even point bow from
financial point of view
as from the eco point of view so actually
the hospital has to invent in this boxes
because you have to buy them of course
but this is the more sustainable way
to work with your instruments
compared to the blue rap
you can see here twenty times used of this box
already showed that it is better well what about the gals
my hair is gray and i grew up with the reusable gum
but due to
well i don't know
but the industry showed us that the disposable is actually
more comfortable more
more not sustainable but more
effectious less etc
so we start using the disposable gowns
however if you look it from a sustainable point of view
it shows that even from energy cu to use a water use and wasted
it is a reduction to use the reusables with 6 to 80 percent
so why do we still use the disposables actually
and we did a comfort study
and it showed that the comfort was actually
of the reusable disposable similar
so i think we have to go back to the
more reusable gown instead of the disposable
we're using now these are examples
which we figured out in our o r from several points of few
which is to measure is to know
so what is in my opinion next step well
one thing is we have to challenge your engineers
and luckily the next speaker will also be engineers
because engineers they work on the basis
actually of the products we are using
of course you can recycle and another
presentation will be more on the recycle part
and that's a good one if you consider instead of
burning it but i think the most important one is remodeling
and work with modern design instruments
which we can use in the o r
so we challenge the engineer
actually to work on that and the industry as well
well two other more points we are working as i told you with
the green o are that one is the borrow meter
um a bottom meter is a bench marker uh
which shows uh how green issue are actually
and we measure several
points unfortunately this one is in Dutch it is a
pilot we are working on
but we want to measure it in all the hospitals in Holland
and to compare them if they are green or
they are less green how much disposable
do you use how many medication
do you use how much aesthetics
for example do you use and can you diminish it
if you work an adventure marketing way
finally we are working on a guideline
doctors are used to work in protocols
but there is not a sustainable protocol yet
so we started to make a guideline
which can be used in the protocols to look if you have
a measurement
or you think that it's the best way to work with
you have to guide it with your
surgical sustainability protocol
and
we measured five recommendations about certain group techniques
disposable first
reusables cover material and esthesia and airflow
and we gave also challenges to the industry
because for example
robotic surgeries has
showed you is an energy consumption and due to the
use of energy and disposables so we challenge actually
the industry to stay a work on that to make it more sustainable
the similar is it with the disposing reusables as a showed
the engineer says to be challenged to make it
modeler or in other way performance and aesthesia as a show to
reduce the use of
them and start to work with intravenous and if not possible
capture it away and
work on capture technology well
these are examples
this guideline will be
finished end of this year and introduced internationally
in scientific papers
so what is my
note take home message
but make more the take at who your work messages
it is always good to think big and start small
and an English sharing says eat the elephant bit by bit
so that means start at your own
hospital start at yourself great
greetings eto are but also at the other words
considered greenwashing
because a lot of industries are saying this is green now and
the colored even green
but be aware of that greenwashing and your
indication is also a matter of concern because refuse actually
as i showed you
here is the most important
one do we need to do this operation or not
appreciating instruments and technology considers their clarity
and binding finding green and
as i showed you
in point two to measure is to know make a quick scan that
is told already and find your hot sports and work on that one so
why am i so
well working on this
because i'm afraid that we leave our earth
or our offspring in this way and i think
that is bothering me and i hopefully it's bothering you as well
and we can work on that because the questions remains
can we do this
and my opinion is yes
we can but i want to say and highlight here again
we must do this
well put green speckled zone
and look in that way 200r and in your hospital thank
you very much for your attention
it was a pleasure to give this presentation
and maybe it's auto for questions
非常非常感谢詹森博士哈
呃
这个詹森博士您可以关闭您的那个
PPT共享
这样的话您就能和大家见面了啊
然后这样
就是刚才通过詹森博士的介绍
耶对啊OK
我们现在可以看到您了
然后那个刚才通过詹粪博士的介绍
还包括刚才其实
呃我们这个逆口参赞也说过哈
就是我们手术到底产生了多少
这个在手术室里产生了多少碳排放
包括医疗废物和垃圾
消耗了多少能源
其实刚才通过这个
我们这个这个呃博士的介绍呢
其实我们
具体有数据可以了解了啊
因为我觉得今天这个报告非常好
是在哪就是在于不光是理念啊
已经做了很多的这种这个实际的数据
给了我们一些这个这个参考啊
包括刚才
说到的单胎手术排放量
能达到150到230公斤啊
包括这个
呃每张床位有这个1.4吨的碳排放量啊
包括面积6%的手术室
占医院20%-30%的这个医疗垃圾啊
这些都是
切切实实的
给我们很多的这种参考数据
呃看看我们在座的各位
有没有希望和我们
这个詹森博士提问的
呦
OK go ahead
好
啊那个博士你好
我想问问就是说是刚提到在嗯
能源管理和医用气体这个方面
咱们的绿色做法呢有哪些
yeah for the
management part for the
the anaesthetics i think that's obvious
i think we have to challenge the anastheologist not to work
with these
gases anymore and use the propofol
in the basket was a measure of money
but now the propofol the patent has gone so it's
an economic way it's cheaper or equal
and the other thing is to challenge
my former speaker Mr Dang Chaoi gave presentation
to diminish the lemonaflow
during night times and the weekends
so that's an important issue
because it's a big big consumer of energy of the hospital
the lemonaflow
好好的刚才是这样
刚才我我我也帮着说两句哈
因为是这样就在我们手术室里
刚才说曾疗病房
可能在荷兰这边可能会达到
就是24小时不间断的运行
呃而且刚才博士提到就是说
有的时候这个是拒绝使用还是怎么样
哈就是我们假如说通过我们的研究
可以说间断性的使用啊
这个比如我们的层流病房或者
我们的空调
那其实就是一种碳排放的减少啊
就是刚才您说的那个医疗气体的那个
好像那个真的博士没有没有去这个说
主要他说的是麻醉剂啊
就是真的博士医疗气体这部分
呃你你这块是有什么
这个这个做过什么研究吗
well
yeah we started in Holland that
the guest
emission from the anesthetiologist is
less compared to the literature for example
in the United Kingdom
um that was a comparison um
and we are now working on
um more details about the situation in Holland
but also asking the antiologist
why they still work with the gases and for example
they say we use it in pediatric surgery
because that's important
but on the other hand um i think um
they still have to work with that because
in coffee time
we saw for example that was a shortage of propervole and so
the working with the gases is very important during training
but you can preferably work with the propofol
and i think that is a change for the anonyologist
to work with that
and i'm not anonyologist
but i'm looking as a surgeon at the other side
and think why do we still need these guesses
if it can be done with profitable
for example so it's an way of doing and a way of thinking
to change that habit
that's one
and other question was
那个好的
刚才可能两个人没对上频道啊
一个人说的是我们氧气的医疗
气体的供应一个是我麻醉气体哈
哎没关系今天时间有限
我们可能后面我们再做一些相关交流
我再提您一个问题哈
不是我就想了解一下就是咱们呃
像咱们现在做了研究之后
有没有实际的案例
就说我们在做了这些
这个这个手术室的这些工作之后
能够减碳多少
或者能够减少这个废弃物多少
减少能源多少有没有实际案例
有一个这个这个数据
that's a good question that's a very good question
i only can say that i can
know the reducement of each specific
because we can calculate that
but what it works on the general emission
the answer is still open and i'm working on that because
this very important
one to measure is to know
and that's the reason why we start measuring it
then we know
do we have to work on this or do we have to work on that
for example the boxes and the polypropylane we have
quite a lot emission counted for that of measured for that
but what it does on the general emission
we have to overlook for that but we working on that
yeah that's the way i start to do the research
but all bits will work that's the issue as well
because some say okay
maybe that doesn't bring so much cu2 reduction but i think
every small bit works or helps to reduce the general
cu2 food print for medical care yeah
we work all together on that
好谢谢
非常感谢您啊
您今天的介绍呢
让我们看到了这个您的有理想啊
有理念而且有落地有实施啊
而且包括是有数据啊
让我们看了一些数据
这也会给我们很多这种启发
也希望后续我们有更多的合作
共同推动手势史的这个减排工作啊
好再次谢谢您啊
谢谢
thank you thank you thank you
好
那下面呢
这个刚才已经我们3位嘉宾了啊
下面是我们两家的这个
呃中和两家医院的综合案例的介绍啊
一家是来自我们
首先是我们来自我们荷兰的是这个
呃伊瑟达医院啊
有这个伊瑟达医院呢
现在有几位专家共同给他提案
给大家提供了后面的这个报告啊
一位是我们伊萨拉医院的行政委员会
高级顾问啊
这个可持续方案小组成员
伊内克维克女士啊
还有我们
采这个伊萨拉医院采购经理啊
杰奎琳呃博斯克女士啊
介绍
介介绍我们这个商业管理和采购方法
还有我们医院建筑经理啊
约赫姆呃普鲁伊马克马马斯克先生啊
介绍我们的这个伊斯达这个
呃Mapo医院的项目啊
还有我们这个梅佩尔分院主任
这个玛丽斯卡啊女士啊
呃那么下面请大家聆听啊
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这个伊斯兰医院的同仁们
给咱们带来一所比较
环境优美的医院啊
这和我们的绿色理念
其实大家也看到几位同事
就是几位同仁
几位专家介绍的角度不太一样啊
但是嗯
建筑可能我们今天来了很多专家
对这块了解比较多一点啊
也介绍了很多的相关的技术啊
嗯最后这个其实我感触比较深
我们比较优美的诊疗环境
这跟我们刚才韩主任介绍的
我们新的这个
就是绿色医院的这个标准啊
他的定义啊
我觉得相对来说是非常吻合的
我们需要首先是以人为本
要满满足我们的
这个医院最终是诊疗为主
要保证人民健康啊
诊疗是一方面
这块诊疗环境的保障
怎么能让
人在里边感觉到更加的这个舒适
或者说更加的这个人性化
其实是我们做绿色医院的一大重重点
同时要通过我们节能低碳这种手段
去实现这个两个
这个点
包括我们现在提出的高质量发展
高质量医院建设
这个平衡点其实是非常重要的
也是我们未来可能研究的一个方向
呃荷兰的这个意思的医院
也带给我们非常好的借鉴
因为这个
今天他们这个刚才这个会务组跟我说
也是在忙碌的工作中
因为时差问题哈
因为他他们在忙碌工作中
可能没有在网上
呃没有互动机会
但是也希望通过妮蔻
将来我们有机会去
意思来医院去看一看
去做个交流啊
好那么下面
呢就有请我们南京鼓楼医院啊
我们这个
这个呃赖镇总务出
赖镇处长
为我们介绍
南京
鼓楼医院的绿色医院建设探索与思考
我们南京鼓楼医院是国家第一批
节能型公共机构示范单位和国家领
呃能效领跑者
这个单位
所以说呃
有请我们赖处
给我们带来我们鼓楼经院
鼓楼医院的经验啊
有请赖处
呃大家下午好啊
那个呃鼓楼院呢
到今年呢已经建院131周年了
那么它一共有呢三个院区
呃分别是本部这个院区
江北院区和南部院区
呃这个床位呢是4,000张
目前的话呢本部和江北呢正正在运行
那么南部院区呢将会在
呃6月份建成启用
那么现在的开放床位是3,000 呃700张
那么呃
刚才我们新院长也提到了
呃实际上作为绿色医院来讲的话呢
它包含了三个方面
一个是绿色医疗
绿色建筑以及绿色行为
那么我今天呢也是重点呃
讲一讲绿色建筑啊
在鼓楼院的一个实践情况
那么实践的标准
那刚才新院长也提到了
我们在中国有两个这个啊
参考的一个依据
那么就围绕着这个我们嗯在结缔
节能节水节材这几个方面做了
围绕这些做了一些工作那么
这个呃对于绿色建筑的一个呃理解
我想用两个三角来
表达一下他们几个关系
那么实际上在项目的建设
过程中
那么我们的方案是这个策划和设计
实际上是一个啊
相对来讲占的这个呃比重啊
占占的这个权重是比较重的
那么在建好了以后整个运行的阶段
那么我们的运维
管理以及设施技术的更新
那相对来讲
那个权重就比较又是呃比较高了啊
所以他是不同的阶段有不同的这个
呃侧重
那么这个呢是根据这个城乡这个
呃不这个一个一个图势力啊
那么我们现在都在强调
全市民族期的一个建筑
那么它是由建设
和这个维护这两个大部分组成
从这个地方可以看到啊
我们的建设修缮以及其他的费用
和我们日常的能耗和设备更新
它实际上是差不多
投入都是百将近接近50%
所以我们作为呃建设来讲
我们要啊这个呃要有更多的绿色元素
在运行方面我们更要去节能啊
那么作为我们来讲
我们就从以以下呃
是以下从这个三个方面去以它为抓手
一个呢在建设方面
我们要更多的体现使用绿色元素
那么这里头的话呢
这个啊我们清洁可再生的
这个能源的利用等
以及要充分利用市场的这种政策
都是在这个元素之中
同时的话呢
建成了以后我们要提升能源的利用率
能源回收利用
能源梯阶利用
那个高效这个设备的使用
以及建好了以后我们怎么管
我们要呃加强这个能源啊
这个使用的这个监测啊
建设平台分享计量
那么呃具体来讲的话呢鼓楼渊的话呢
我们在建设的过程中呢
还是体现了很多的呃这个绿色元素
这是我本部的一个呃大楼
那么大楼的话呢
可以看到外面的金属板
看上去呢它是一个起到一个装饰作用
但是它更重要的
是一个遮阳的作用
它是一个空心的一个铝板
它在整个大楼的这个呃
节能这个贡献率上面是占到了14%
那么这是呃这个呃
左边的呢
是我们江北院区的这个外地面的这个
它是一个电动遮阳的一个百叶
就是可以这个电动
根据这个太阳光的折射来调整啊
这个它的这个呃
呃这个百叶
那么呃我们呢
也很重视将自然的光线和这个呃
呃自然的通风
能够引入到建筑中
那么在本部的话呢
我刚才看到伊斯拉这个一个大楼
它中间是一个有一个天井
那我们在本部的话呢
我们也引用了很多的这个采光景
把这个自然的这个呃光线和通风呢
能够自然的引入到众生的这个
这个这个这个
楼楼宇里头
因为一个大平面的话
怎么去解决众生的这个问题
就是说呃和伊斯拉这个很像
我们觉得啊
同时的话呢我们还在江北院区
我们用了这个呃
呃导导光管采呃采光这个采光系统
也就是说
通过这个把光线引入到地下室
引入到地下室
同时的话我们建立了很多的这个IC
应用了一些很多的系统啊
包括我们的雨水回收我们都在使用
啊那么具体的吗
我再介绍几个呃呃具体的呃这个案例
也就是说
我们在利怎么去利用清洁能源
这个可再生能源的话呢
我们就是呃比较呃
习惯性的在使用太阳能啊太阳能
那么我们在本部啊
在12年就启用了这个太阳能的这个呃
生产热水的这个这个项目
那么我们觉得非常好
那么就在后期的这个
老院区的改造过程中
我们继续推广
在江北呃这个院区
在南部院区我们仍然在使用这个
那么第二个呢
就是这个买冰蓄冷水蓄冷这个项目
也就是说在南京呢
他有相当长的这个一段时间
是非常炎热的
大概是从4月份
4月底到10月份都需要开空调
那么呃
特别是在六78这个酒这几个月的话呢
那么白天的这个电力负荷是非常大的
那么对整个电网的压力非常大
怎么去解决这个问题呢
那么政府部门他也提出来
希望能够啊这个呃移风填骨
就把白天的这个啊这个能源
能不能把它用到晚从用到晚上
那么就是通过这个呃
从晚上我来这个去呃这个
去结冰哎去结冰啊
把它产生冰槽
然后的话呢
白天融化使用
利用这样子的情况
那么他一共有三种
这种啊这个呃运行的模式啊
在天气比较呃这个呃这个凉凉的时候
但是有些部分有需要的时候
我们白天只需要开融化兵器
呃这个那么在呃
在这个呃
温度上升的情况下那可以混合使用啊
这是啊这个混合使用那么呃
第三个呢就是一个冷凝水
冷凝水我们知道医院啊
呃产生冷凝水的地方很多
一个是什么供应室
一个呢是我们
呃这个冬天的这个采暖啊
采暖一部分采暖的这个产生冷凝水
这个冷凝水呢
它本身排出来的温度非常高
呃有的能达到七八十度甚至将近90度
这要是直接排
放到这个下水道里头的话呢
实际上也是
非常对这整个环境会产生影响的
那么而且他这个水水资源也浪费了
他跟本身的这个呃这个温度啊
这个也浪费了
那我们是什么呢
我们就利用把它全部回收
利用到了锅炉房
锅炉房然后再进行这个水质处理啊
在水处理呃
就不仅这个减少了这个排放
而且的话呢
也充分的利用了他本身
水的自身的这个温度
那么提高了锅炉的功效哎
同时的话我们也节约了一定的成本啊
这个水重复利用了啊
那么这就是一个系统图啊
这是我们这个利用的一个系统图哎
呃在我们的江北院区的话呢
我们用的是这个呃
这个绣花铝这个呃这个这个空调
那么这个空调呢它有它的特点
所以我们就利用它这个特点的话呢
呃在他的这个里头装了一个呃板换
利用这个他自己自身的产这个热
使这个板通过板换产生啊
这个一个附加的一个值
就是产生了一个附加的热水
供整个院区的啊洗澡等等热水的使用
充分利用了它的余热
那么这个也使用啊
那么还有我们医院有大量的电梯
垂直电梯
那么这个垂直电梯
在上下运行的时候呢
它一定是处在发电状态会产生电能的
那么这个电能呢
是在以前来讲它是一个废的
我必须要把它损耗掉
呃就是消耗掉
通过什么消耗呢
要通过电阻使它发热把它消耗掉
那么这个样的话呢
呃这个不仅是产生了浪费而且的
话呢也使整个室温啊
就我们讲太平呃呃这个碳排放特别高
整个环境呢也也上升了
这个温度也上升了
就产生了很多的这个问题
那么现在来讲的话呢
我们啊
引用了这个啊
这个这个这个电能回馈回收这个装置
那么不仅啊使这个电能得到了回馈
那么同时的话呢
也减少了他这个电阻啊
燃这个这个
这个用电的产生的这个热量排放
呃还有我们发现我们中央空调很多
那么中央空调的话呢我们
磁悬浮的话呢
在这个工况上面来讲啊
这个应该说啊
在这个综合这个能耗上面来讲
一个是非常啊经济的一个
那我们在
后续的一些改进方面
我们也在推广在呃使用这个呃
磁悬浮的这个这个这个这个这个技术
所以同时的话呢
我们对我们所有我们的医院
所有的这些项目
我们都建立了一个啊监控
监监控的平台啊
通过这个平台
我们能够对能源的使用进行监测
能够做到基本信息
这个能源分析
能源损耗以及异常这个能源
这个用能的一种告警啊告警
呃那么很多医院呢
他都在兴建的时候
他都很重视这个绿色建筑的这个设计
但是呢要可持续
那就是说你在启用了以后
一定还要去争取
拿到绿色运行这个标志
那才能表明你是一个啊
这个这个可可持续的一个发展的一个
一个标志
那么我们这个大楼的话呢
我们实际上是07年开始建设的
那个时候
还没有一个完整的一个绿色建筑
的标啊标志
但是我们虽然用了这么多的这个
啊这些技术
但是哎
你说要能达到三级可能还达不到
但是通过我们的努力很不容易
我们还拿到了二级运行
这个这个这个这个这个标志
那么这几年也获得了一些啊这个这个
啊这个
那么对今后的这个思考的话呢
有这么几点啊
一个呢是要作为我们国家来讲
我们还是个
虽然是个能源啊比较丰富的这个国家
但是的话呢
应该说还有一部分还是有依赖于外面
那么整个这个能源的这个使用的话呢
我们可以从统计数据上面看到
也是逐年在增加
在增加
而且的话呢不光是能源使用的增加
它的价格也是因为
因为这个自然
这个灾害因为战争等很多的原因
他都是在波动
所以也增加了我们的很多的负担
对我们的经济也占了很大负担
那么我们一定要在这个绿色的建筑
在绿色的运行上面要下功夫
要下功夫
那么第二个呢就是说呃优化结构
也就是说呃从公共
这个建筑这个呃系统发展来看的话呢
刚才伊斯拉这个呃
有一个专家也提到了一个全店
全电气化
减少天然气
减少化石能源消耗
这个可能是一个趋势
还有
绿色行为
绿色行为实际上它是一个呃
绿色医院
它是一个综合性的
它这里头不仅包括它是一个啊
这个医疗建筑
医疗行为医疗设备医疗采购
也就是我们刚才意思
那刚才几位这个专家
也就这几个方面他都讲到了我
们都是应该在这个方面去做这个奴隶
呃最后我们还要看
理性的看待这个能源的上涨
因为我们现在很多的医院
他可他你从绝对值上面来讲
他可能是上涨了
但是呢我们还要综合分析
我是不是业务量还有整个规模的
这个所以不要去啊
这个1 呃这个1看到能源这个上涨了啊
就是我们使用量上涨了
我们就很那个
我们一定要综合的去结合
这个运行的指标
来来去看待这个问题
同时的话来提升这个啊效率啊
以效提高效率为主
那我们呃
呃这个搞建设搞节能
我们可能不可能一下子就能够啊
这个把它一蹴而就的
那可能要分步走
分步走我们就提出来
就是要有几个坚持啊
一定要坚持下去啊
这个这个呃
我们就一定能会在
这个绿色医院的这个建设上面
能取得成绩
谢谢
好谢谢谢谢赖楚啊
那个
刚才赖楚也提供了很多的鼓楼经验的
相关的经验和方法哈
就是值得大家借鉴啊
呃而且也说到了
就是不光是一个技术方面的
还有包括理念方面的行为方面的啊
将来怎么去做好
因为节能建筑
节能这块
对于我们剪排工作
应该是作用非常大的
尤其从我们这个
因为我们在这个能源结构的改改变上
可能发改委可能会
会会有更多的这种主动权
调整我们的节能结
呃这个这个能源结构
但是作为我们医院来说
节能这块是一块很大的一块的
这个工作要去开展的哈
非常感谢赖
处嗯下面呢
是我们这个两位荷兰的这个专家哈
嗯涉及到的也是我们两项这个
相应的专利技术啊嗯
首先是我们这个
戴尔福特理工大学生物机械工程系
可持续外科和转化技术教授呃
医学科技主管
生活实验室外外科器械协调人啊
现场实验室可循环器械协调人
我们迪姆教授嗯
他给我们带来的这个
这个演讲题目叫做用ADLIP
手术机器人打破阻碍啊
大家掌声欢迎
thank you
do you all see my presentation
i think always starts with us
can somebody confirm that that is fishable
可以看到可以看到
yes you can see the presentation
okay then let's start
the name timor Mono from the Tu doves
and i'd like to show you a little bit more about a new
sustainable platform that you're currently developing
whereas peninsulapuscopic surgery
and this is quite a special system
because it does not require any disposals
and of course
that's Yong sing we talk about small stable east mines
inside the body
and about doing this alone
i think you already met Franklin Johnson
there are some other bright
researchers from all over the Netherlands you both
but first
i know that there was in fighters to talk a little bit
because what we see here is actually
what i'm known from in the Netherlands because i was setting up
quite some
processing
new processing lines based on new technology that help us
in the Netherlands to
deal with all the waste coming from the war with s i
totally agree with prong bill mjongsun
i think recycling of waste into new products is greater
we have to do that if you can prefer that is much better
and
especially i like to talk a little bit more about the advanced
leprechopic instruments
i hear a ego that's why i was stopping
Alright
so because what we see now if he take a short walk over a nice
a Damo floor at the United station of physical church
is that we have a set of two surgical platforms upper
on the market for quite some years we see that actually
50 new platforms are entering the market soon
we are within the certification attractory
and then 25
new robotic platforms are entering the market in the coming
10 years and it is quite interesting to see that all those
platforms are interesting
they're developed one has more feedings of
each of them than the other
but they all use the same kind of disposable instruments
because they're hiding behind the fact that they say from yeah
this kind of steerability
it can only be created with instruments that can be
the two be disposed um and yeah
that's that's quite an uh concern for me
especially if you realize what the actual
road ratio is at the moment
it reaches almost forty percent
so that means that we all have a huge pile of waste
every year
coming from all the disposables of the robotic systems
also as mentioned from Franklin Johnson
and then the question is of course
what is the real
reason that all those platforms have disposable amazements
and i think this nice projection
mentioned Xivala you can look this up from Forbes
this is actually a little bit older 2019
but what you see here is that actually search for intuitive
which is the biggest manufacturer for about existence early
they earn around a thousand million Euros of dolars a revenue
if you compare that actually to the
income generate from the instruments
it destroys as much
i think this is a good motivation to have disposable of
semi disposable instruments
bit of course
the realism kicks in when you look at 225
then you expect around
10 to 50 million Euros
of an instrumental year that are disposed
and this is a quite conservative estimation
so what is also interesting
if you're like a research
as i am a false bringing a defense laptop surgery do
all over the world then
you actually see that although systems
they full of a certain price performance curve
because currently
it is that this kind of manufacturers they aim at the top 20
percent hospitals that are financially wealty
they can afford this kind of proport exist
but the other 80 percent cannot
and if you look at basically
what happened from the point that robotics were
introduced that we see
actually the world instruments became disposable
or say me disposable or deposable this also knew through
but the instruments themselves they did not
they were so evolutionally more
so basically the citizens themself became nice or shy
and the controls became better
but the real performance inside the body
stopped at some point and then you see this kind of curves
this kind of you can draw this kind of awesome touch you know
that you have to
look at the fundamental instrumental steering technology
in order to
bring a robotic surgery to a level
that actually becomes affordable
for the
new issues i'm interested in
and because i want not only the Netherlands and the uk
and the usa
the bigger hospitals to use with this kind of stuff but also
in a little area of China
then you have
an a solution
to work at least with the best instruments for that situation
so that yeah basically what's the basis of
of my research lines just staying in most searching
translational technology
so i'm not alone in this
because there are more issues so if you look for example at
the websites of the FDA
you can find guidelines that shoot force the development of
of safe
surgical instruments
you actually see that if you look at their guidelines that um
yeah all those instruments
there's leproscopic instruments they don't have
smooth soups inside
they've all kind of gables and police and springs
like what we see here
inside the next leader
prefence that you can maintain them
inspect them or clean them bro
so basically what we can conclude is that this
kind of instruments that are currently being used
they do not fully
comply with the fishing of the fde but also
ce and therefore
if you want to bring them to
let's say they're less wealthy hospitals
this is not a good shoe machine
so
if you have instruments that are actually
uncleanable as an industry
you can earn a lot of money with that
you can provide all kinds of racks trays filters
add ons for with industry Asian departments
that generates of course
an extra short of the income
that's all nice for this wealthy
but not necessary for yeah the less
equipped
facilities the same
in the other 80 percent of the hospitals
so we had to come up with a new solution
that also takes into account claimability
cost suspectives
and we actually found that we
remove the gables from the instruments because those
those gave a lot of problems
so we created a new
design method
it's called the bare medium design methods
and then you look at the interaction of the components
and we found that it is possible that
we replace the cables actually by extra tubes
and tubes by nature are very
nice elements because they are very stiff strom and they can
basically translate a lot of torque
over the length of the chefs
in a cable there's a lot
of drawbacks because if you apply force on them
they start to extend you cannot clean them
you cannot take them apart
so by replacing
cables by tubes yeah
we came up with actually a very simple system
but you can see here at the bottom
this system
it contains of an extra chef tube for a decrease of freedom
two degrees of freedom
and therefore
in order to mimic and robotic instruments
you only need to have three shoots
and the system actually became so simple
you can also put some simple wheels on it and a handle
and then you can have a fully starable instruments for yeah
then that professional laproscopy
and if you compare the basic technologies
or fucking effort the cable driving system
or what we now have with the tube
rotation and translation
you see already
a serious rejection in the
energy requirement as you do footprint of Varia
if a man you use up 60 times you drop around 70 percent
so that's an interesting
basis technology
to work with
so nowadays where we are is that
we started project in 2022
it's about the development of a fully monitor robotic system
that uses uh
uh instruments that can be
exchanged between the robotic uh gearboxes and the handhelds
so as a search
and you can decide that you're going to a
holy suspect to become uh next week
you just take on the shafts out you put them in uh in handles
and we can basically clean them with the pressure
cooker education
and the other week you can say hey
we're going to a cluster within our defense hospital
we have a couple of patients for a deep professional or a
other type of advanced surgery
and be assembled everything
into a fully equipped robotic system
and now this is no possible
because you can either buy a conventional
instruments or you can buy a robotic platform
they do not exchange the instruments
so that's what is new about this platform
about challenging of course
because you need to make things with
exchange system that is very intuitive
so all the stuff kind of work is
i managed to do slow and i like to show you a little bit more
about this platform
i hope it works
if you dush put your tempo
and you see till this point
it is
for the report excursions it's quite familiar
so we have an anti factor that can do all the emotions
articulation articulation and rotation
but now it becomes quite appealing because you can easily
let's say change the inside of this
steering instrument
for example now we have a grasper
and we want to have an affenically the graspper or a cutter
you just change
the instrument plug in
lock it in and here you go
and otherwise you have to buy multiple those boxes
so you see you can really take it apart within seconds assembly
in seconds and
probably you Don't want to do that during shuritory
but it already has a minute effect here where you can do that
before shurishi
because you can tailor your setup or a specific procedure
and for dress
it does all the features that you can expect in any other
robotic platform as our stereo barrier
and the robotic arm of course
can do the same kind of motions as others can do
because that is not really very innovationalized
so the interesting part is mostly for the hospitals if you
look at the effort
that is needed in order to translate
this kind of technology to your real operation
and the main the requirement there is that the staff is able to
take the instruments apart
sterilize them and put them back together
and if you train that well with standard employees
i think we did this in a light of medical center
we can actually see that
an average employee can assemble and disassemble this
this instrument shaft within a minute
with that does mean for example
for a comparison of sixty procedures
that you need less instruments that basically
says that you need for sixty procedures
around thirty five thousand bureaus less
money infested into surgical instruments
hey you imagine if you translate this to
full year of
procedures with all the
robotic systems that we have in the world
and of course yeah it
tremendously limits the amount of
instruments that he travel away and therefore need
to incinerate
so for me that's quite a good development
we hope to bring this actually in the market of in 2000
30 because we just received quite a big funding
yeah to bring this technology to a team of six level
which means that you have a film working demonstrated
that we can you can see we'll go to bosch
to confidge the industry to in fashion dish
and by doing that
yeah at least i like to thank Nico of course
because if there are questions then he informed me that you can
that
they can be fired in him
something else that i like to mention if
if that i like to jealous
Nico to organize a nice tool to the Netherlands
because i did not talk about all our
waste processing facilities
but i have to say they're quite impressive
so if this kind of tools are organized from the
embassy then yeah
please visit us and
we will show you
what we are doing and how this can work for China as well
so thank you for your attention and this is it
非常感谢丁姆教授的介绍啊
这个虽然说装备这块不是很专业
但是我觉得这个思路是很正确的啊
把一些可以换的部位
我们看能不能去给他更换掉
然后保证大部分的
内容是可可重复利用的啊
这个我觉得这个理念是对的
但是具体的这个设备
我不能做评判了啊
但是有机会还是很感谢迪姆教
授的邀请啊
我们也很希望有机会去现场去观摩啊
嗯下面那我们还有一位
这个最后一位演讲嘉宾是我们这个
非法filter啊
这个技术总监爱德华多
范登伯格先生啊
给我们带来的这个
嗯Famer filter的介绍啊
大家大家掌声欢迎
earth is our home
our planet is a gift
a place to live that contains everything we need
but right now we are not taking good care of it
pollution is becoming a bigger problem each year
and it has many faces
from general race to pollutants in water
farmer filter helps to save the planet for future generations
we combine healthcare waste and waste water together
let's have a look how we do this
we focus on hospitals
their ways contains all
kinds of pollutions that can be harmful for the environment
these harmful substances contains from a suitcalls materialism
bacterias and for example
also in the Queens
this wife farmer filter has
designed a close loop waste management system
that allows hospitals to turn their waste
into energy and create clean water
while at the same time making hospitals safer for patience
stuff and visitors
let's look how our system works
everything starts in the patient's room
farmer filter has come up with several products like a urinal
a bad pen that reduces the number of contact moments
with biohazard materials
and significantly reduce the need for hand sanitation
as they require no cleaning safe viable time in patient care
and are designed to minimize contact
a radical new way of working
which is safer and more efficient
and creates new possibilities in healthcare
after use the object is put into our tonto grinder
which grinds all sorts of material into fragments
this is mixed with wastewater and released
into the hospital internal wastewater system
which leads to our purification plant
here organic materials and bioplastic consumables are converted
into energy that can be used in the system
armful substances
such as petrogenes and market pollutants are removed
non biodegradable particles are cleaned for normal waste hrs or
recycling streams
after processing the water can be reused at the hospital
for example to flush the toilet
the tontos or for the gardening
the farmer filter close loop system works in free levels
first
it improves care hygiene and safety inside the hospital secondly
it reuses the cleaned waste water
and third it filters out all harmful pollutants
and cleans all solid waste
want to start today
the farmer filter system is modular and quick to set up
without major engineering
we provide installations starting up
from 10 cubic meters an hour
with a farmer filter insulation
you can reuse decontaminated water inside the premises
reduce organic waste by 95 percent
and turn by your hazardous materials into normal waste
join the farmer filter mission today
and enjoy your safe efficient and future proof waste solution
we can only do it together
whoa figure
好谢谢
that's everybody here
哎yes
呃谢谢那个呃呃爱德华多先生哈
嗯这个我理解可能就是是一种
一个是污水
污水处理系统
还有包括我们的医疗废弃
呃废弃物的一个处理系统啊
因为短很短的一个片子啊
我们看到了这个具体技术
可能没有在这边具体的
更多的去展示啊
呃
针对上面这两个技术和产品
大家看看有没有相关问题
需要和我们丁姆教授还有我们这个
呃爱德华多先生进行交流的有吗
it's what we did is actually
finding a solution of waste and waste water
and make clothes looks in this whole system
so therefore we made a small presentation in the film
to show you what we can
and what are the possibilities
for example all those plastics that comes out
almost 50 percent of those plastics are polypropylane
or polyathlane
materials from a hospital
and we can with another company we can make it again
to high quality poly population
phonography without
putting it in the furniture or adjust energy
another thing is that
everything that's organic like foods or
other biological things we can
turn that into an energy and heat that we can reuse that back
into the oscillates
so so we are trying
to make every time again a close loop system
in the hospital so you don't have
more and more waste but you have reusables instead of
a single use because you make it again as
a single use item that
every time over and over again you will get it
are there questions on that side
because i'm living in the Netherlands
and the company is also in the Netherlands actually in Europe
we asked Nico
to be our contact person
if there are some questions on that particular
system like chromoshelta
thank you for your time
好谢谢谢谢您啊
那个后续我觉得嗯
包括我觉得今天的给给我的感受啊
就是我们河南这块
对于这个医疗废弃物
垃圾物的这种处理
可能有更多的种方式和方法啊
就是我我们也很希望就将来有机会
更多的这种
交流啊沟通
呃因为我
之前也在一些
其他的一些国家也看到过
对于医疗垃圾废弃物这些处理
可能不光光不仅仅是焚烧啊
而且呢回收利用的非常好啊
能够产生更多的这个社会价值
这个也是希望我们其实
希望是鼓励我们国内的一些企业
能够去做这些方面的事情啊
能够帮我们处理我们的现在
面临的这个医疗垃圾处理
相对来说这个量还是比较大
而且比较困难的这些问题啊
呃那好
大家看看还有没有有问题想交流的
给我们两位这个荷兰的
然后包括同时跟我刚才我那个
呃我们赖处和呃邓处
这两位刚才好像也没有做更多的交流
有没有需要有请问问他们的问题的
哎赖臭您好我想跟您请教一个问题
就咱们鼓楼医院是在07年开始建
应该是12年 投入使用的
那么就是
我看你是19年拿到绿色运行的二星
就是在这个过
程中拿这个绿色运行二星
有没有做一些这方面的改造
才达到了这个绿色二星的要求
因为当时你07年建的时候还没有
没有这么详细的这个标准出来
1616版19版的都没有对
在这个过程里头呢
实际上是有还是有很多的工作要做的
嗯他来评估的时候他不是
一次就给你评估过
他是有预评估
然后在中期评估
然后再再再这个最后再再评估
他在预评估的时候
那么实际上
你前面做了很多的东西的话呢
呃呃他在得到基本认可的同时
他也会给你在现场
提了很多的一些一些问题
那么在这里头呢
你就会有去做很多的提升
提升这个工作一直到最后
那么呃这个
最后和前面初始的有了很大的一些
呃改变那么最后他就会给你这个
哎通过哎
好谢谢你
好看看我们还有没有
希望和我们今天在座嘉宾交流的
同志包括我们韩主任也在
哈哈哈
嗯谢谢
我想问一个问题
就是问咱们那个farmer filter
啊公司的这位先生就是呃
您提到咱们这个技术是可以回收一
些一些包括塑料啊
一些产一些那个医院用的一些耗材
嗯就是我
我的问题是嗯
可以回收的这些材料都是那些
就是呃非感染性的
还是说也会包括一些感染性的一些
就是咱们在医疗过程中
已经有一些接触的这些材料
谢谢
嗨嗯
在吗
这个有可能
是不是
哦哦
那个这样
可能我们那个嘉宾可能有可能离线了
我
们刚才新书记已经了解的比较清楚了
江准你下来再跟新书记交流一下好吧
这个话题好吧
啊然后这样就是今天这个讨论环节
我们先到这哈
啊我们后续还有这个
嗯嗯
希望我们还有两个我们湖北省
的政府部门进行发言哈
嗯我们先有请我们湖市湖北省
发展和改革委员会的
我们这个社会处啊
这个郭广伟代表
代表发言是吧
好呃各位领导各位嘉宾大家下午好
我是来自
湖北省发展和改革委员会社会
发展处的郭广伟
呃很荣幸受本次监博会组委会的邀请
参加综合
呃绿色医院发展研讨会
今天一下午呢
聆听了众多嘉宾的演讲与分享
呃可以说让我们大家对绿色医院的概
概念有了更加深入的认识
借此机会和大家做简要交流
呃我们应该有一个共识
就是绿色就是自然生态
低碳环保节能的代名词
而绿色医院的建设和发展
应该就是要充分体现以人为本
以患者为中心的服务理念
在满足人民群众就医基础上
最大限度的去节约资源保护环境
减少浪费
做到与自然和谐共生
呃那么在这一概念的前提下呢
我想结合我们发改部门的工作职责
和大家做几点交流
呃第一个是在规划整体规划方面
通过制定和完善中长期的发展规划
呃将我们绿色医院的发展理念
不仅融入到医院的各项具体工作中
更要融入到整个社会
特别是我们卫生事业的整体规划中
呃从政府层面
加强各个部门之间的协调配合
共同打造一个健康舒适
节约环保的绿色医院
第二是在项目审批方面
呃发改部门将
更加注重医院的布局的合理性
和后续发展的可持续性
呃从地域分布上
既要尽量的呃覆盖更多的服务人口
也要避免我们的医疗资源重复浪费
呃从功能设置上
既要统筹医疗
呃医疗教学科研行政后勤
等方面的一个功能布局
也要兼顾医院的
近期的需求与长远的一个发展
真正做到一次规划分布
实施资源优化合理配置
第三块是在我们的政策知识方面
呃一方面
是要争取更多的资源投入到这个
呃绿色发展领域
通过政策引导
呃各个医疗机构去节约资源减少污染
提高我们医院的整体的运行效率
另一方面呢
通过可以通过
试点先行典型引入的呃办法
鼓励建设一批节约型的公共机构
或绿色医院示范单位
啊这个我们下午已经看到了
包括深呃深圳呐
呃南京呐这方面已经做了不少的工作
引领我们的医疗行业在提供
更加优质的
诊疗服务的同时
实现绿色转型发展
呃我们还查到就是今年1月份
国务院新闻办公厅
发布了一个叫
新时代的中国绿色发展的一个白皮书
里面提到了绿色发展是顺应自然
促进人与自然和谐共生
是高质量可持续的发展
那么绿色医院的发展
当然也是我们医院高质量发展的一个
必经之路
和应有之意
呃相信会为我们的健康中国
和美丽中国的建设注入新的力量啊
谢谢大家
好谢谢谢谢郭主任啊
呃我觉得绿色医院的发展
离不开发改部门的支持啊
尤其其实我们体会比较深的
在我们医院前期建设过程中
呃前期项目审批过程中有的时候这个
呃
医院的这个后期怎么样才能这个更加
这个高品质绿色的去发展
可能需要资金上的有一些
可能需要一些更多的支持
因为可能不光光
要考虑前期建设过程的这个
资金的高低
可能要考虑到后期
运行过程中有可能产生很好的
这个减碳节能环保的价值的时候
前期可能要有一定的这个投资增量
啊这部分内容很希望发给委
得到发给委的支撑
另外再有一部分
在我们医院建设今天可以听到
其实不光是建设过程中的问题
可能涉及到全产业链啊
包括我们的这个产品设备等等
这些内容可能都涉及到
呃相应的一些这个
这个怎么去低碳绿色去发展
这方面的过程
可能对于我们这个发展发展部门来说
也需要得到支撑和支持啊
呃感谢感谢您今天的参与啊
今天这个我们这个瞿
瞿淑艳处长应该是也在啊
啊您还有什么想说的吗
哦不好意思啊
好的好的
那么下面有请我们湖北省卫生健康委
嗯金钟二级巡视员给我们讲话啊
好
谢谢主持人
这个尊敬的王健主任
史密康参战
还各位嘉宾和来宾
大家下午好
这刚才听了这个大家的分享啊
看到了很多的这个研究
思考和一些成功的案例
我也很受启发
我想在这里呢
分享一点我个人的这个体会
和工作层面的建议
第一个呢
我认为这个
结合我们省啊和刚才一些
医院的一些情况来看呢
我认为这个绿色医院的建设和发展呢
非常有意义
我想从这个三个层面来说
第一个是从政策层面来看
我国正在推进发展方式的绿色转型
发展绿色低碳产业
倡导绿色消费
推动形成绿色低碳的
生产方式和生活方式
那么医院这一块是非常重要的一块
我们理解呢绿色医院
应该是医疗的技术管理
服务质量等综合实力的体现
这个绿色医院的建设符合
国家关于公立医院高质量发展的要求
对此我省一定会予以大力支持
第二从社会层面看
绿色医院建设
可以提供优美的就医环境
更加便捷舒适的就医体验
满足人本的健康需求
促进国家的和谐社会建设
也有助于提升医院形象和服务水平
第三从技术层面看
绿色医院建设
应用了很多的最新的最现代的技术
包括人员水材料资源等方面的
节能环保和控制的有关技术
也包括现代的医疗技术
还有运用现代信息技术和人工智能
推进的智慧医院建设
这也有助于医院
提高质量和综合管理的水平
所以啊我认为这个
绿色医院发展非常有意义
第二个方面呢
想从政策方面提出三点建议
第一是要推动形成共识
我们希望有更多的交流讨论研究
能够在国家层面
形成进一步明确
就是中国绿色医院的概念和内涵
这样的话在建设新的医院也好
或者是改造旧的院区也好
就是把促进绿色医院建设作为规划
设计的一个重要的理念
二是健全工作机制
建议
会同发改铸建
环保等部门呢
建立一看的建立某种形式的工作制度
加强沟通和交流
研究进一步的
支持绿色医院建设发展的有关的政策
推动新的理念和技术
在医院的发展应用
三是发挥专业机构的作用
促进在医院评估评价中
引导如医院协会等专业的组织和机构
将绿色医院建设发展
作为一个重要的评价纬度
调动医院
绿色建设的积极性
推动医院绿色发展
谢谢大家
非常非常感谢这个呃
金呃金主任的这个这个
最后的讲话哈
这个对于我们来说
刚才金主任来说
从政策层面社会层面技术层面
对我们绿色发展绿色医院的意义
做出了非常高的这个评价啊
同时又给出了这个政策建议
我觉得对于我们后续啊
就是我国将来这个绿色建议
绿色建筑的发展
会有呃绿色医院的发展
会有很大的这种推动作用啊
也希望我们湖北能将来作为我们的
试点啊
我们共同来推动相关的这个工作啊
好再次感谢感谢金主任
哎
嗯那最后那个我们是不是有请那个
看看
对大家那看看
今天还有来了很多医院的同志好像
哈嗯
看看我们医院的同志们有没有
今天想想
发言或者
还有什么问题吗
好呃
尊敬的史平康厂长王建主呢
还有新书记还有金钟呃二旬
那么参加今天下午这个
我首先介绍一下
我是来自于呃同济医院光谷院区的
呃助委
那么也
非常高兴
今天下午能够参加这个活动啊
呃学到了很多
也有很多启示啊
嗯我也谈一下我自己的一些理解
因为我本身也是一个重症医学科的大
夫
那昨天实验跟史明康参战已经交流过
那么我我觉得在医院我们实际上现在
医费不管是固体废物或者废水
我们重视程度很高的
但是在这个气体这一块
实际上
我刚才看到了我们河南那些做法
包括麻醉气体
甚至哮喘病人的这个喷雾剂
都在考虑他的一个碳排放的问题
所以这也
让我们觉得
实际上碳排放也是一个全方位的
只要我们要关注
一个医院在运营过程中的
方方面面
可能会增加
带碳排放的这些点
那么这可能也都是我们
下一步工作的一个重要的方面
或者说是一个
很重要的一个需要解决的一些问题
那么第二个呢
实际上呃
就是关于我们那个新书记刚才提到的
我觉得也说的非常好
那么绿色建筑是基础
绿色医疗是根本高效运行是保障
那么确实啊
我们绿色建筑做了一栋房子
这房子做好了也就做好了
而医院的运营
整个医疗行为是一个长期的过程
那么如何在这个长期的过程中
始终保持一个
绿色的理念
如何去始终保持着一个低的一
个碳的排放甚至零排放
3 也是
我们在全流程中
需要去关注的一个重要的问题
那么第三个呢就是我们以人为本
我觉得医院嘛是为病人服务的
那么房子在那里但是人也很重要
所以我们要关注
在医院里接受治疗的病人
他是否能够感受到我们所谓的绿色
还有我们的医务人员
也就是我们的医务人员
长期在这个环境中工作
我们如何去感受到这个
环境给我们带来的一个身心的愉悦
呃这是我想分享的一点谢谢
非常感谢
祝愿啊那个呃
昨天我们也参观了这个
我们光谷医院啊
也看到了我们很多的这种突出的亮点
然后也希望这个有更多的
这个我们医疗机构的代表啊
就是包括我们院长
能够关注我们医院发展中
这个绿色化的这块的内容哈
呃
您的理念我觉得也也也非常先进哈
以人为本
我们要创造更好的种诊疗环境啊
呃看看我们还有其其他的
这个医院的同志吗
想发言吗
今天那个道辉代表或者是
其他同志还有没有想说想想发
想发言的
那个Nico你还想有什么想说的吗
first of all
i would like to thank you all for attending this seminarm
i think
that i can speak on on on behalf of the other co organizers
especially the national health commission and Philips
uh that uh this was far beyond our our expectations
uh we have been
talking and working on this seminar for for some time together
i am extremely happy uh
with the exchanges that have taken place at different level
different levels
at the level of policy exchanges and best practices
so that there are there
the importance of of um measuring uh
uh the right targets and monitoring the right uh
uh progress i think that there are also
similarities and and complementarities uh where
there is room for for
follow up of of this seminar
is extremely important to to have researchers
uh working together on on some of the items that were discussed
and i think there's a lot to gain on indeed was mentioned here
on technology development
by also involving the end user of medical instruments
medical devices
medical equipments but also medical services
to involve the end user from the start of the design
so i think uh that's far as i'm concerned uh uh
it's very clear
uh that we are speaking uh very often exactly the same language
uh
when we talk about green hospitals and sustainable healthcare
as far as i'm concerned
it would be very interesting
to indeed to develop a kind of a roadmap
together where we will be looking at how
to code design
how to code develop
and how to scale up
common solutions for the shared challenges
in sustainable healthcare and green hospitals
so thank you very much uh again
there are various questions that i will take back with me
to the participants from the Netherlands also the last question
from pharma filter
i will talk about it with the c o pharma filter
but also having
various feedback discussions with the other participants
from the Netherlands
and indeed yes
it would be really wonderful
if we could welcome a delegation
from from China from the hubei province
in the Netherlands
so that it makes it a lot more interesting to talk with various
partners in the Netherlands together
and not only look at powerpoint slides
but really to talk to the people
who are behind all of these expertise
and i know that they are looking forward
in continuing discussions with you
also maybe around some nice food dishes
sustainable food and nutrition in
the Netherlands thank you very much
非常感谢Nico啊
那个发出的邀请啊
同时我们也觉得今天的这个会议其实
也是个开始吧
其实去年我们已经开始了
我记得好像去年在北京
Nico已经做了一些这个演讲
在北京市政府的一个会议上啊
已经启动了我们这一项工作
非常高兴今天又有一这么
这么广泛的一个各
方面的一个技术交流活动
我想后面我们面临的是更
广阔的一种合作交流
然后共同推动我们
这个医院的绿色化发展啊
非常感谢您啊好的
然后最后那个让你呀
请我们尹部长看看这个
我我其实觉得都不用总结
大家已经总结的非常好了
嗯因为大家都很专业
也感谢我们专业的这个
呃朱主任的主持啊
我可能就代表最后代表交流中
心这个绿色医院项目组
谈一点学习体会
呃确实今天下午呢我们花了挺长时间
4个小时的时间
我们线上线下我看了一下有19位的
这个时间还真是很紧
19位的发言嘉宾
呃基本上中国和荷兰各占一半吧
我们举办了这样一个
中和绿色医院发展研讨会
吸引量是非常大的
呃对于我们项目组来说
我想或者说对我们可能参会人员来说
呃我觉得有几个方面的收获
第一个确实是提升了大家的认识
呃这个呢我们可能就是对我来说吧
或者说从项目组来说
我们更多的是对气候变化呀
这种环境污染的这样的认识
但是医院在里面中的到底是什么样的
作用或者什么样的比例
实际上这个我们是不太清楚的
但是看到这些数字还有那些视频
我们是觉得确实挺吓人的
没有想到我们一个为健康做服务的
这样的一个
这样的一些领域部门
还要为这个
还能对环境污染
对健康造成它的危害
实际上这个其实是刷新了我们的一些
认知我们认为是服务的
但是反而好像造成了一些损害啊
这个啊真是
我觉得通过这种数据也好
通过各种的这种分享也好
确实让我们提升了这样的认识
嗯同时我们也看到
就是大家一边听一边看一边讨论
我们也确确实看到这个确实是
刚才呃朱院长说如果可持续的发展
确实是个问题
绿色建筑他可能是一个
品种于前期的哈建设方面的
当然他也有把会会
把全周期的考虑加进去
但是怎么样
在运行方面持续做这个事情
实际上开头难
后面其实是可需要投入的
这个经历是非常非常大的
嗯
所以其实是创新了我们这样的一个认
识第三就是我们也看到我们这个呃
我们之前做的研究也也在看
就是我们中国的这个十四五
卫生方面的规划
到底在绿色方面在做什么
我们其实也在希望想了解
和这个想推进
今天我们那个曲处长也介绍了
确实我们在卫生健康领域
是有这样的一个规划的
也是应该是多部委
共同推进这样的一个事情
毕竟不是卫生健康委自己的事情
共同来推动这个事情
应该说是呃呃
理念
或者说我们的方向肯定是以人为本
然后但是通过低碳绿色去实现
所以我们也觉得未来的工作
其实是非常非常多的
这个呃这第一个就是我觉得
整个提升了我们对这个
这个认识和对政策的理解
第二
确实我们也是加强了这样的国际交流
呃因为今天我觉得这个其实非常全面
虽然是我们是去年开始准备这个事情
但今天是完全的呃
非常系统的
非常详细听到了各个荷兰从呃
从沈明康先生的教养的一个呃报告
然后我们从这个
啊几个为荷兰的这个卫生部
然后我们的各个医院还有产业的介绍
我们也是看到了
确实我我的理解
可能确实我们中国还是
需要继续的学习
学一一起携手吧
做好这个事情
确实是大家都要分享的自己的
数据和方法
我们我们我们我们规划师
我们的深圳呃专家
还有我们北京北京三院专家
还有我们的南京专家
也分享了很多自己做的事情
我觉得其实是都可以加强交流
他其实有一位荷兰专家说的特别好哈
我自己记下来就知道他要
所以说是think big start small
所以其实是我们可能就是
一个是理念的学习
另外一个很多方法的学习
实际上是我们一步一步的去用它
可能不见得我想着很大
但是能做起来的事情
可能一步一步开始做起
从自身做起
这个是我觉得我们一个是理念
一个是具体方法
呃朱斌主任一直说
到底你有什么样的方法
你有什么的数据
这个其实就是我们我觉得中国的这个
同行们非常想了解
学习的一些具体的方法
实际上是能用到的一些方法
呃
刚才周斌主任也代表项目组说了这个
其实呃我们现在又等会议
去年就开始筹备这个等8月到11月
到了现在
呃确实是这个非常期待啊
我觉得也是
对我们项目来说
其实是我觉得是一个
我自己感觉是一个正式的起点啊
因为去年我们发了一个倡议但是
后面因为疫情也阻碍了很多事情
今天是一个正式的起点
呃我想后面我们的项目组也通过
呃继续引进来走出去
我觉得交中心吧
应该是继续做国际的事情
我们做一些国际的研究
做一些交流
继续我们把好的经验呃引进来
继续带着我们的同行们一块去
一块我们去
荷兰也好我们去去看一看
真的是要学习了解还是要看一看
还是不一样的
嗯所以
中心我也继续通过这样的研究和交流
嗯做好我们的项目的事情
我们也
呃看到大家对这个技术方面的
这个就具体的实践方面的这个渴望
我觉得也是继续做好一些
嗯清单
这个意思
就可能指一些我们的案例的清单
产业产品的清单
也是为大家提供一些参考吧
嗯我们的项目组继续做好工作
在规划师的指导之下
最后还是特别感谢哈
感谢今天我们这个我们的现场
现场专家19位专家
嗯还有我们参会人员
我发现大家也非常努力在认真的记
认真的听
还有拍照
嗯我们这个
今天也是得到了国家卫健委规划师
虽然确实是茅斯
特别特别支持这个事情
从刚开始的筹备到现在一直很支持
今天也是因为特别的紧急的情况
所以民政出席后会
我们向大家进行报告
嗯我们还有湖北卫健委
我们高开委的这个支持
也特别感谢
呃沈明康先生带着我们的梁燕
嗯一块来筹备这个事情
我们筹备了好几个月了哈哈
嗯然后最后也感谢我菲利普公司的
公益支持
这个大家一块携手做好我们的事情
谢谢大家
好感谢这个尹部长代表我们
国家卫健委国际交流与合作中心啊
给会议做的最后的总结啊
我再次代表这个呃
代表我们绿色运转专委会吧
因为你已经代表这次会议的做了
感谢啊我也感谢哈
就是这个特
别感谢今天这个您这边的邀请啊
让我来担任后半场的一个主持
也非常感谢各位领导的出席
也非常感谢刚才各位
全场各位专家的这个发言
精彩发言啊
嗯更加感谢这个呃
国家卫健委国际交流与合作中心
组织一次会议
因为本身我是从事
这个绿色医院这个推动工作
应该说是
呃从15年开始吧
啊呃
绿色建筑这块推动工作
应该是从09年开始啊
所以说我说特别感谢我这次机会啊
能够去跟大家携手
共同推动医院医院领域绿色化发展
啊然后也特别感谢荷兰各方
包括我们这个呃
妮口啊妮口参赞这边的这个支持工作
还有我们菲利普公司以及荷兰各方的
各参与方以及专家们啊
今天的会议呢
应该说又有宏观政策的方向啊
又有这个微观
呃技术产品的案例啊
既有演讲演讲这个研究啊
课题的这个结果
又有这个互动讨论的环节啊
希望大家呢能有所启发有所收获
不虚此行啊
感谢今天各位来宾的参与
以及线上嘉宾的参与
希望我们能携手推动医疗
领域绿色化发展啊
为我们营造健康的环境
呃今天是世界卫生日啊
最后我想以习近平主席的讲话
结束今天的回忆啊
2021年5月21日
国家主席习近平在全球健康峰会上发表
携手共建人类卫生健康共同体的讲话
指出让我们携手并肩
共同推动构建人类卫生健康共同体
共同守护人类健康美好未来
谢谢大家
期待下次再次相聚谢谢
