{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T12:11:47Z","timestamp":1778933507246,"version":"3.51.4"},"reference-count":20,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Climate Change and Health"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.joclim.2025.100553","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T05:59:32Z","timestamp":1762322372000},"page":"100553","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Reducing regulated medical waste: A roadmap for process improvement"],"prefix":"10.1016","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9123-6806","authenticated-orcid":false,"given":"Clarissa A.","family":"Niino","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0720-4343","authenticated-orcid":false,"given":"Raanan","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"John","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0321-1535","authenticated-orcid":false,"given":"Kelly","family":"Wright","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.joclim.2025.100553_bib0001","article-title":"Health Care's Climate footprint: how the health care sector contributes to the global climate crisis and opportunities for action","author":"Karliner","year":"2019","journal-title":"Health Care Without Harm Climate-smart health care series"},{"key":"10.1016\/j.joclim.2025.100553_bib0002","unstructured":"Centers for Disease Control and Prevention. Regulated medical waste, https:\/\/www.cdc.gov\/infection-control\/hcp\/environmental-control\/regulated-medical-waste.html; [accessed May 12, 2025]."},{"issue":"1","key":"10.1016\/j.joclim.2025.100553_bib0003","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1086\/646421","article-title":"Medical waste","volume":"13","author":"Rutala","year":"1992","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.joclim.2025.100553_bib0004","unstructured":"U.S. Department of Labor. Bloodborne pathogens, https:\/\/www.osha.gov\/laws-regs\/regulations\/standardnumber\/1910\/1910.1030; [accessed April 20, 2025]."},{"issue":"2","key":"10.1016\/j.joclim.2025.100553_bib0005","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/S0196-6553(99)70093-3","article-title":"Effective cost-reduction strategies in the management of regulated medical waste","volume":"27","author":"Garcia","year":"1999","journal-title":"Am J Infect Control"},{"issue":"2","key":"10.1016\/j.joclim.2025.100553_bib0006","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.wasman.2003.10.008","article-title":"Moure-Ersaso R. Alternatives for treatment and disposal cost reduction of regulated medical wastes","volume":"24","author":"Lee","year":"2004","journal-title":"Waste Manag"},{"issue":"1","key":"10.1016\/j.joclim.2025.100553_bib0007","doi-asserted-by":"crossref","first-page":"100","DOI":"10.4097\/kjae.2017.70.1.100","article-title":"Segregation for reduction of regulated medical waste in the operating room: a case report","volume":"70","author":"Shinn","year":"2017","journal-title":"Korean J Anesthesiol"},{"key":"10.1016\/j.joclim.2025.100553_bib0008","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/j.jenvman.2017.03.071","article-title":"Emission of greenhouse gases from waste incineration in Korea","volume":"196","author":"Hwang","year":"2017","journal-title":"J Environ Manage"},{"issue":"7","key":"10.1016\/j.joclim.2025.100553_bib0009","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1177\/000313481307900708","article-title":"The green operating room: simple changes to reduce cost and our carbon footprint","volume":"79","author":"Wormer","year":"2013","journal-title":"Am Surg"},{"issue":"10","key":"10.1016\/j.joclim.2025.100553_bib0010","doi-asserted-by":"crossref","first-page":"E934","DOI":"10.1001\/amajethics.2022.934","article-title":"What would it mean for health care organizations to justly manage their waste?","volume":"24","author":"Silva","year":"2022","journal-title":"AMA J Ethics"},{"issue":"6","key":"10.1016\/j.joclim.2025.100553_bib0011","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/j.aorn.2009.12.029","article-title":"Reducing medical waste","volume":"91","author":"Conrardy","year":"2010","journal-title":"AORN J"},{"key":"10.1016\/j.joclim.2025.100553_bib0012","author":"Hill"},{"issue":"4","key":"10.1016\/j.joclim.2025.100553_bib0013","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1136\/bmjqs-2013-001862","article-title":"Systematic review of the application of the plan-do-study-act method to improve quality in healthcare","volume":"23","author":"Taylor","year":"2014","journal-title":"BMJ Qual Saf"},{"issue":"3","key":"10.1016\/j.joclim.2025.100553_bib0014","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.aorn.2016.01.014","article-title":"The gold in garbage: implementing a waste segregation and recycling initiative","volume":"103","author":"Wyssusek","year":"2016","journal-title":"AORN J"},{"issue":"1","key":"10.1016\/j.joclim.2025.100553_bib0015","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.aorn.2016.11.005","article-title":"Improving staff knowledge of perioperative regulated-waste management","volume":"105","author":"Perrego","year":"2017","journal-title":"AORN J"},{"issue":"1","key":"10.1016\/j.joclim.2025.100553_bib0016","doi-asserted-by":"crossref","first-page":"106","DOI":"10.4103\/joacp.JOACP_196_16","article-title":"Assessment of knowledge, attitude, and practices regarding biomedical waste management among operation room personnel in a tertiary care center","volume":"35","author":"Aanandaswamy","year":"2019","journal-title":"J Anaesthesiol Clin Pharmacol"},{"issue":"2","key":"10.1016\/j.joclim.2025.100553_bib0017","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1097\/XCS.0000000000000478","article-title":"Environmental impact and cost savings of operating room quality improvement initiatives: a scoping review","volume":"236","author":"Sullivan","year":"2023","journal-title":"J Am Coll Surg"},{"issue":"1","key":"10.1016\/j.joclim.2025.100553_bib0018","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.anclin.2010.11.007","article-title":"Reduction of regulated medical waste using lean sigma results in financial gains for hospital","volume":"29","author":"Stonemetz","year":"2011","journal-title":"Anesthesiol Clin"},{"key":"10.1016\/j.joclim.2025.100553_bib0019","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.wasman.2021.01.006","article-title":"Intraoperative waste segregation initiative among anesthesia personnel to contain disposal costs","volume":"122","author":"Fraifeld","year":"2021","journal-title":"Waste Manag"},{"issue":"2","key":"10.1016\/j.joclim.2025.100553_bib0020","first-page":"108","article-title":"An initiative to optimize waste streams in the operating room: rECycling in the operating room (RECOR) project","volume":"85","author":"Martin","year":"2017","journal-title":"AANA J"}],"container-title":["The Journal of Climate Change and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2667278225000793?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2667278225000793?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T11:26:47Z","timestamp":1778930807000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2667278225000793"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":20,"alternative-id":["S2667278225000793"],"URL":"https:\/\/doi.org\/10.1016\/j.joclim.2025.100553","relation":{},"ISSN":["2667-2782"],"issn-type":[{"value":"2667-2782","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Reducing regulated medical waste: A roadmap for process improvement","name":"articletitle","label":"Article Title"},{"value":"The Journal of Climate Change and Health","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.joclim.2025.100553","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Masson SAS.","name":"copyright","label":"Copyright"}],"article-number":"100553"}}