Shutdown protocols for IT—reducing energy waste in medical practice
BMJ 2024; 386 doi: https://doi.org/10.1136/bmj-2023-079056 (Published 30 July 2024) Cite this as: BMJ 2024;386:e079056Linked Editorial
Sustainable practice: what can I do?
- Nattakarn Limphaibool, radiology specialty registrar,
- Kevin Bowden, PACS/RIS systems consultant, OUH digital team ,
- Huw Walters, radiology specialty registrar
- Oxford University Hospitals NHS Foundation Trust
- Correspondence to: N Limphaibool nattakarn.limphaibool{at}ouh.nhs.uk
What you need to know
Across healthcare settings, desktop computers are often running continuously, irrespective of whether they are in use; this contributes to significant ecological burden and has financial implications
Automatically shutting down unused IT infrastructure overnight can facilitate significant energy and cost savings, with an associated reduction in greenhouse gas emissions. Shutdown protocols can be installed by local IT teams and are both adjustable and easily aborted to ensure no effect on workflow. Workstations in critical areas or those in use overnight can be exempted from the shutdown protocol installation
Energy consumption by medical equipment contributes to ecological and economic costs. Analysis by Imperial College Healthcare NHS Trust shows that 33% of that trust’s carbon footprint was attributable to electricity use. Much of this usage was for heating, ventilation, and cooling systems,1 but desktop computing has an often overlooked and significant impact on the environmental footprint and financial costs in healthcare, particularly in IT intensive specialties such as radiology. Installation of automatic daily shutdown protocols for computer workstations after core working hours provides a simple and highly effective means to reduce energy waste in everyday practice.
Why change is needed
Widespread use of desktop computers …
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