{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T05:09:57Z","timestamp":1771477797531,"version":"3.50.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To reduce the carbon footprint of inhalers by formulary optimization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The carbon footprint of inhalers dispensed in 2023 was audited.<\/jats:p>\n                    <jats:p>The preferred salbutamol metered dose inhaler was changed in March 2024. After 5 months, a second audit was done to assess this intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key findings<\/jats:title>\n                    <jats:p>The carbon footprint was 109 tonnes of CO2 equivalents in 2023. Metered dose inhalers accounted for 97.8% of emissions (107\u00a0t CO2 equivalents) but only 55% (n\u2009=\u20094149) of inhalers dispensed.<\/jats:p>\n                    <jats:p>Following the intervention, monthly emissions were significantly lower (P\u2009=\u2009.048).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Inhaler formulary optimization significantly reduced the carbon footprint.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ijpp\/riaf068","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T11:34:47Z","timestamp":1753788887000},"page":"85-87","source":"Crossref","is-referenced-by-count":1,"title":["Formulary optimization to reduce the carbon footprint of inhalers in a tertiary hospital"],"prefix":"10.1093","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7005-8757","authenticated-orcid":false,"given":"Iarlaith","family":"Doherty","sequence":"first","affiliation":[{"name":"Pharmacy Department, Tallaght University Hospital , Dublin, D24 NR0A ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankit","family":"Yadav","sequence":"additional","affiliation":[{"name":"Respiratory Department, Tallaght University Hospital , Dublin, D24 NR0A ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marguerite","family":"Vaughan","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Tallaght University Hospital , Dublin, D24 NR0A ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"McGillycuddy","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Tallaght University Hospital , Dublin, D24 NR0A ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren","family":"McConville","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Tallaght University Hospital , Dublin, D24 NR0A ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deirdre","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Respiratory Department, Tallaght University Hospital , Dublin, D24 NR0A ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,20]]},"reference":[{"key":"2026021807421137200_ref1","doi-asserted-by":"publisher","first-page":"2830","DOI":"10.1111\/jan.15671","article-title":"The carbon footprint of healthcare settings: a systematic review","volume":"79","author":"Rodr\u00edguez-Jim\u00e9nez","year":"2023","journal-title":"J Adv 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