{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:24:37Z","timestamp":1783013077526,"version":"3.54.6"},"reference-count":62,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Climate change is a critical global issue, impacting ecosystems, economies and communities worldwide. The shift from paper\u2010based to digital systems is becoming increasingly prevalent across industries, with downstream positive impacts on sustainability. In 2020, Austin Health, a public tertiary hospital in Victoria, Australia, adopted a web\u2010based outpatient booking application, which succeeded the prior paper\u2010based system. The application served as an integrated platform for administrative staff to access various Austin Information Technology platforms and replaced previous mail\u2010based outpatient appointment notifications with Short Message Service\u2010based notifications. This study aimed to assess the environmental impact and organisation\u2010wide economic cost of a web\u2010based outpatient booking application compared to the prior paper\u2010based system across the same time period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective environmental and economic assessment was conducted for both the web\u2010based booking application and the paper\u2010based system. The evaluation covered 36,925 outpatient diagnostic imaging studies \u2013 including CT, MRI, ultrasound and mammography \u2013 performed at Austin Health from 1st July 2023 until 30th June 2024. The environmental impact was assessed by calculating the expected carbon dioxide equivalent (CO\n                      <jats:sub>2<\/jats:sub>\n                      e) emissions produced by each system. The economic cost analysis was conducted from the perspective of the hospital and included the direct costs of labour and materials\/consumables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      CO\n                      <jats:sub>2<\/jats:sub>\n                      e emissions were significantly reduced using the web\u2010based outpatient booking application compared to the prior paper\u2010based system (38.5 tonnes compared to 0.002 tonnes), predominantly attributable to the elimination of postage\u2010related fuel emissions (27.7 tonnes). The estimated net operating cost savings across the year was at least AUD 175,000 (in 2024 Australian Dollars, adjusted for inflation). This was primarily due to labour savings from the elimination of workflow inefficiencies (at least 2342\u2009h saved) amounting to at least AUD 85,272 in salary, followed by savings from eliminated pathology tests (AUD 57,422) and postage costs (AUD 55,193).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The adoption of the web\u2010based outpatient booking application led to a substantial reduction in carbon emissions and operating costs, alongside enhanced operational efficiency and productivity. These benefits are anticipated to be enduring, especially in the face of an ever\u2010increasing demand for medical imaging services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1754-9485.13815","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T05:56:38Z","timestamp":1732686998000},"page":"345-355","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The sustainability impacts of a web\u2010based outpatient booking application"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5568-7303","authenticated-orcid":false,"given":"Melissa","family":"Yeo","sequence":"first","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kane","family":"Nicholls","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pey Ling","family":"Shum","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2475-9727","authenticated-orcid":false,"given":"Hamed","family":"Asadi","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Health Deakin University  Burwood Victoria Australia"},{"name":"Interventional Neuroradiology Service, Department of Radiology Austin Health  Heidelberg Victoria Australia"},{"name":"Stroke Theme Florey Institute of Neuroscience and Mental Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5446-2751","authenticated-orcid":false,"given":"Natalie","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"},{"name":"Department of Radiology The University of Melbourne  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)32290-X"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01915-2"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11356-023-28689-1"},{"key":"e_1_2_9_5_1","unstructured":"MahmudR.Towards sustainable food logistics: an opensource web application for optimizing transportation scheduling and vehicle routing (Master's thesis). 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