Eliminating the routine use of examination table paper in outpatient oncology clinics

Background: Health care systems contribute significantly to greenhouse gas emissions. One source of these emissions is single-use products. Examination table paper does not confer protection against microbial contamination and thus can be omitted while following infection control standards. The objective is to eliminate the routine use of examination table paper in outpatient oncology clinics at BC Cancer. Methods: A quality improvement approach was used. Examination tables continued to be disinfected using wipes between patients, but table paper was not used. Plan-do-study-act cycles were performed at four regional cancer centres. Results: Pre-intervention, the cancer centres used 19 to 69 rolls of paper monthly. Postintervention, usage declined to 0 to 2 rolls monthly. This was associated with annual cost savings of $3974 and a reduction of 32 501 kg of carbon dioxide emissions. Conclusions: The use of examination table paper can be eliminated in outpatient clinics, resulting in both cost savings and a reduction in carbon dioxide emissions.