{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T20:17:10Z","timestamp":1773865030479,"version":"3.50.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Syst"],"DOI":"10.1007\/s10916-026-02360-x","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T12:47:24Z","timestamp":1773838044000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Tracking Greenhouse Gas Emission Initiatives Across a Large Academic Health System Utilizing Innovative Dashboards"],"prefix":"10.1007","volume":"50","author":[{"given":"Semerjit","family":"Bains","sequence":"first","affiliation":[]},{"given":"Luis","family":"Ahumada","sequence":"additional","affiliation":[]},{"given":"Fiorella","family":"Gonzales","sequence":"additional","affiliation":[]},{"given":"Frederick","family":"Kuo","sequence":"additional","affiliation":[]},{"given":"Ryan","family":"Shargo","sequence":"additional","affiliation":[]},{"given":"Brant","family":"Tudor","sequence":"additional","affiliation":[]},{"given":"Mohamed","family":"Rehman","sequence":"additional","affiliation":[]},{"given":"Nicholas M.","family":"Dalesio","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"2360_CR1","doi-asserted-by":"publisher","unstructured":"Pichler, P. P., Jaccard, I. S., Weisz, U., and Weisz, H., International comparison of health care carbon footprints. Environ. Res. Lett.\u00a014(6):064004, 2019. https:\/\/doi.org\/10.1088\/1748-9326\/ab19e1.\u00a0","DOI":"10.1088\/1748-9326\/ab19e1"},{"key":"2360_CR2","doi-asserted-by":"publisher","unstructured":"Lenzen, M., Malik, A., Li, M., Fry, J., Weisz, H., Pichler, P. P., Chaves, L. S. M., Capon, A., and Pencheon, D., The environmental footprint of health care: A global assessment. Lancet Planet Health\u00a04(7):e271-e279, 2020. https:\/\/doi.org\/10.1016\/S2542-5196(20)30121-2.","DOI":"10.1016\/S2542-5196(20)30121-2"},{"key":"2360_CR3","doi-asserted-by":"publisher","unstructured":"Romanello, M., Di Napoli, C., Drummond, P., Green, C., Kennard, H., Lampard, P., Scamman, D., Arnell, N., Ayeb-Karlsson, S., Ford, L. B., Belesova, K., Bowen, K., Cai, W., Callaghan, M., Campbell-Lendrum, D., Chambers, J., van Daalen, K. R., Dalin, C., Dasandi, N., Dasgupta, S., Davies, M., Dominguez-Salas, P., Dubrow, R., Ebi, K. L., Eckelman, M., Ekins, P., Escobar, L. E., Georgeson, L., Graham, H., Gunther, S. H., Hamilton, I., Hang, Y., H\u00e4nninen, R., Hartinger, S., He, K., Hess, J. J., Hsu, S. C., Jankin, S., Jamart, L., Jay, O., Kelman, I., Kiesewetter, G., Kinney, P., Kjellstrom, T., Kniveton, D., Lee, J. K. W., Lemke, B., Liu, Y., Liu, Z., Lott, M., Batista, M. L., Lowe, R., MacGuire, F., Sewe, M. O., Martinez-Urtaza, J., Maslin, M., McAllister, L., McGushin, A., McMichael, C., Mi, Z., Milner, J., Minor, K., Minx, J. C., Mohajeri, N., Moradi-Lakeh, M., Morrissey, K., Munzert, S., Murray, K. A., Neville, T., Nilsson, M., Obradovich, N., O'Hare, M. B., Oreszczyn, T., Otto, M., Owfi, F., Pearman, O., Rabbaniha, M., Robinson, E. J. Z., Rockl\u00f6v, J., Salas, R. N., Semenza, J. C., Sherman, J. D., Shi, L., Shumake-Guillemot, J., Silbert, G., Sofiev, M., Springmann, M., Stowell, J., Tabatabaei, M., Taylor, J., Tri\u00f1anes, J., Wagner, F., Wilkinson, P., Winning, M., Yglesias-Gonz\u00e1lez, M., Zhang, S., Gong, P., Montgomery, H., and Costello, A., The 2022 report of the Lancet Countdown on health and climate change: health at the mercy of fossil fuels. Lancet.\u00a0400(10363):1619-1654, 2022. https:\/\/doi.org\/10.1016\/S0140-6736(22)01540-9. Erratum in: Lancet. 2022 Nov 12;400(10364):1680. doi: 10.1016\/S0140-6736(22)02169-9. Erratum in: Lancet. 2022 Nov 19;400(10365):1766. doi: 10.1016\/S0140-6736(22)02314-5.","DOI":"10.1016\/S0140-6736(22)01540-9"},{"key":"2360_CR4","doi-asserted-by":"publisher","unstructured":"Eckelman, M. J., Huang, K., Lagasse, R., Senay, E., Dubrow, R., and Sherman, J. D., Health care pollution and public health damage in the United States: An update. Health Aff. (Millwood).\u00a039(12):2071-2079, 2020. https:\/\/doi.org\/10.1377\/hlthaff.2020.01247.","DOI":"10.1377\/hlthaff.2020.01247"},{"key":"2360_CR5","unstructured":"Chakera, A., Fennell-Wells, A., and Allen, C., Piped nitrous oxide waste reduction strategy. Association of anaesthetists\u2019 working group and centre for sustainable healthcare:\u00a0pp. 1-3, 2021."},{"key":"2360_CR6","doi-asserted-by":"publisher","unstructured":"Ryan, S. M., and Nielsen, C. J., Global warming potential of inhaled anesthetics: Application to clinical use. Anesth. Analg.\u00a0111(1):92-8, 2010. https:\/\/doi.org\/10.1213\/ANE.0b013e3181e058d7.","DOI":"10.1213\/ANE.0b013e3181e058d7"},{"key":"2360_CR7","doi-asserted-by":"publisher","unstructured":"Ravishankara, A. R., Daniel, J. S., and Portmann, R. W., Nitrous oxide (N2O): the dominant ozone-depleting substance emitted in the 21st century. Science. 326(5949):123-125, 2009. https:\/\/doi.org\/10.1126\/science.1176985.","DOI":"10.1126\/science.1176985"},{"key":"2360_CR8","doi-asserted-by":"publisher","unstructured":"McGain, F., Muret, J., Lawson, C., and Sherman, J. D., Environmental sustainability in anaesthesia and critical care. Br. J. Anaesth.\u00a0125(5):680-692, 2020. https:\/\/doi.org\/10.1016\/j.bja.2020.06.055.","DOI":"10.1016\/j.bja.2020.06.055"},{"key":"2360_CR9","doi-asserted-by":"crossref","unstructured":"Barrick, B. P., and Snow, E. A., WAG treatment and CO\u2082 absorbers: New technologies for pollution and waste prevention. ASA Monitor.\u00a082(10):14-16, 2018.","DOI":"10.1097\/01.ASM.0001076784.63544.3c"},{"key":"2360_CR10","doi-asserted-by":"publisher","unstructured":"Hansen, E. E., Chiem, J. L., Righter-Foss, K., Zha, Y., Cockrell, H. C., Greenberg, S. L. M., Low, D. K., and Martin, L. D., Project SPRUCE: Saving our planet by reducing carbon emissions, a pediatric anesthesia sustainability quality improvement initiative. Anesth. Analg.\u00a0137(1):98-107, 2023. https:\/\/doi.org\/10.1213\/ANE.0000000000006421.","DOI":"10.1213\/ANE.0000000000006421"},{"key":"2360_CR11","doi-asserted-by":"publisher","unstructured":"Kahn, R. A., Egorova, N., Ouyang, Y., Burnett, G. W., Hofer, I., Wax, D. B., and Trinh, M., Influence of practitioner dashboard feedback on anesthetic greenhouse gas emissions: A prospective performance improvement investigation.J. Med. Syst.\u00a049(1):12, 2025. https:\/\/doi.org\/10.1007\/s10916-025-02142-x.","DOI":"10.1007\/s10916-025-02142-x"},{"key":"2360_CR12","doi-asserted-by":"publisher","unstructured":"Wyssusek, K., Chan, K. L., Eames, G., and Whately, Y., Greenhouse gas reduction in anaesthesia practice: A departmental environmental strategy. BMJ Open Qual.\u00a011(3):e001867, 2022. https:\/\/doi.org\/10.1136\/bmjoq-2022-001867.","DOI":"10.1136\/bmjoq-2022-001867"},{"key":"2360_CR13","doi-asserted-by":"crossref","unstructured":"Waberski, A. T., Pestieau, S. R., Vazquez-Colon, C., Cronin, J., and Braffett, B. H., Sustainability standards in pediatric anesthesia: quality initiative to reduce costly environmentally harmful volatile anesthetics. Pediatr. Qual. Saf.\u00a08(6):e708, 2023. 10.1097\/pq9.0000000000000708.","DOI":"10.1097\/pq9.0000000000000708"},{"key":"2360_CR14","doi-asserted-by":"publisher","unstructured":"Ramaswamy, P., Shah, A., Kothari, R., Schloemerkemper, N., Methangkool, E., Aleck, A., Shapiro, A., Dayal, R., Young, C., Spinner, J., Deibler, C., Wang, K., Robinowitz, D., and Gandhi, S., An accessible clinical decision support system to curtail anesthetic greenhouse gases in a large health network: implementation study. JMIR Perioper. Med.\u00a05(1):e40831, 2022. https:\/\/doi.org\/10.2196\/40831.","DOI":"10.2196\/40831"},{"key":"2360_CR15","doi-asserted-by":"publisher","unstructured":"Olmos, A. V., Robinowitz, D., Feiner, J. R., Chen, C. L., and Gandhi, S., Reducing volatile anesthetic waste using a commercial electronic health record clinical decision support tool to lower fresh gas flows. Anesth. Analg.\u00a0136(2):327-337, 2023. https:\/\/doi.org\/10.1213\/ANE.0000000000006242.","DOI":"10.1213\/ANE.0000000000006242"},{"key":"2360_CR16","doi-asserted-by":"publisher","unstructured":"Nair, B. G., Peterson, G. N., Neradilek, M. B., Newman, S. F., Huang, E. Y., and Schwid, H. A., Reducing wastage of inhalation anesthetics using real-time decision support to notify of excessive fresh gas flow. Anesthesiology\u00a0118(4):874-84, 2013. https:\/\/doi.org\/10.1097\/ALN.0b013e3182829de0.","DOI":"10.1097\/ALN.0b013e3182829de0"},{"key":"2360_CR17","doi-asserted-by":"publisher","unstructured":"Lehmann, F., Mader, J., Koch, C., Markmann, M., Leicht, D., and Sander, M., Minimising the usage of desflurane only by education and removal of the vaporisers - a before-and-after-trial. BMC Anesthesiol.\u00a025(1):108, 2025. https:\/\/doi.org\/10.1186\/s12871-025-02982-7.","DOI":"10.1186\/s12871-025-02982-7"},{"key":"2360_CR18","unstructured":"Few, S., Show me the numbers: Designing tables and graphs to enlighten. 2nd ed. El Dorado Hills, CA: Analytics Press, 2012."},{"key":"2360_CR19","unstructured":"Tufte, E. R., The visual display of quantitative information. 2nd ed. Cheshire, Connecticut: Graphics Press LLC, 2001."}],"container-title":["Journal of Medical Systems"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10916-026-02360-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10916-026-02360-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10916-026-02360-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T12:47:30Z","timestamp":1773838050000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10916-026-02360-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,18]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["2360"],"URL":"https:\/\/doi.org\/10.1007\/s10916-026-02360-x","relation":{},"ISSN":["1573-689X"],"issn-type":[{"value":"1573-689X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,18]]},"assertion":[{"value":"18 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Institutional review board exempt, classified as a quality improvement initiative, not research. Non-punitive and confidential use of the JHHS Sustainability Dashboard reinforced through a terms of use agreement prior to access; secure access maintained via password protected login. Individual and group clinician performance analytics obtained from the dashboard cannot be used for determination of contract renewal, continued employment, cause for termination, nor punitive intervention.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval and Consent to Participate"}},{"value":"All authors have reviewed the contents of the manuscript in its entirety and have approved and consented for its publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"Author Luis Ahumada, PhD is an associate editor of the Journal of Medical Systems.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interest"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical Trial Number"}}],"article-number":"36"}}