Recovery of a Green Hospital Systems Based on ISO 14001: 2015 Standards

Khelood A. Mkalaf, Nedaa Alshaheen, Rami Hikmat Al-Hadeethi, Ammar Al-Bazi

Research output: Contribution to journalArticlepeer-review


This study targets six North Asia and African hospitals that provide clinical treatment, diagnostic, and consultation services. The study revealed a lack in the selected hospitals’ infrastructure to support implementation successfully Environmental Management Systems (EMS). A factor analysis was performed based on five factors; EMS efficiency, the hospital’s culture, support from top management, legislation, and time and budget controls. Out of 23 sub-factors tested, it has been found that 7 of them can control the differentiation of the factors. The results highlight human errors in chemical and medical materials that lead to environmental pollution. It was followed by a sub-factor that indicated that controls of hospital activities and correction of its performance depend on the feedback received from the environmental information system. The study’s main conclusion is that recovering green hospital systems depends on successfully carrying out the ISO 14001: 2015 standard.
Original languageEnglish
Article number e265411
Number of pages28
JournalPesquisa Operacional
Early online date21 Aug 2023
Publication statusPublished - 2023

Bibliographical note

Copyright © 2023 Brazilian Operations Research Society. This is an open access article distributed under the terms of the Creative Commons Attribution License CC BY [], which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


  • Environmental management system
  • Green hospitals
  • ISO 14001: 2015 standards
  • Continuous improvement
  • Social responsibility
  • Hazardous waste


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