Table 4.

Comparison of perioperative professionals’ prioritization voting in high-income countries, ranked by clinicians’ perceived feasibility

	Feasibility	Safety concerns	Unintended consequences
Introduce recycling*	76.0	4.2	6.7
Reduce the use and wastage of anaesthetic gases§	71.9	10.1	12.2
Ensure appropriate use of clinical waste*	69.7	4.2	6.0
Reduce consumables used†	68.7	9.1	11.1
Reduce energy and water use*	68.3	8.9	9.9
Reduce the impact of surgical fumes‡	68.2	6.2	8.8
Make more use of lightly packaged consumables†	64.3	6.0	7.8
Increase use of consumables that can be easily recycled†	60.7	7.5	9.2
Streamline theatre processes*	57.2	6.8	7.8
Reduced general anaesthesia used, increased local/regional anaesthesia§	55.2	10.1	14.9
Introduce surgical devices that can be reused†	53.2	12.6	14.0
Reduce impact of personal protective equipment (PPE)*	53.0	11.7	13.4
Introduce reusable surgical gowns and drapes*	46.2	16.4	18.9
Introduce re-sterilization and reuse of single-use consumables†	33.6	29.9	28.4
Reduce the use of gases for minimally invasive surgery¶	32.2	26.0	22.4

Values are percentages. *Responses from all participants. †Responses from surgeons, theatre nurses, operating department practitioners, and theatre managers/stores only. ‡Responses from surgeons and theatre nurses only. §Responses from anaesthetists and anaesthetic nurses only. ¶Responses from surgeons only.