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Sustainability-Embedded Quality Improvement
This playbook introduces the SE-QI framework and provides background information, resources, and considerations for embedding sustainability in healthcare improvement projects. It was developed in collaboration with key partners and experts in QI across Canada. It serves as a resource for clinicians, health care professionals, students, trainees, and decision-makers involved in QI work, aiming to inform them of: Sustainability-Embedded Quality Improvement (SE-QI) positions quality improvement (QI) as a practical pathway for embedding sustainability within clinical and operational practice. This playbook introduces the SE-QI framework and provides background information, resources, and considerations for embedding sustainability in healthcare improvement projects. It was developed in collaboration with key partners and experts in QI across Canada. It serves as a resource for clinicians, health care professionals, students, trainees, and decision-makers involved in QI work, aiming to inform them of: Why SE-QI is an essential and practical approach to quality improvement in healthcare, What tools are available to support planning and implementation, and how to effectively implement SE-QI into practice to advance high-quality, low-carbon, resilient healthcare.
Guide de stratégie

Health Quality BC
Our Vision is High-Quality and Sustainable Health Care for All. Every Day, Every Time, for Everyone in British Columbia.
Site web
World Health Organization: World Hand Hygiene Day
WHO is calling on all civil society organizations and other partner organizations to engage with the campaign and accelerate progress at achieving effective hand hygiene at point of care!
Site web
Squire-ENV Extension
The SQUIRE-ENV extension is being led by the Centre for Quality Improvement and Patient Safety (CQuIPS) in collaboration with CASCADES and national and international quality improvement leaders. Building on the internationally recognized Standards for Quality Improvement Reporting Excellence (SQUIRE), this extension establishes structured guidance for reporting environmental sustainability in quality improvement projects where sustainability is a co-benefit or primary aim. Because SQUIRE is widely used by journals, conferences, and healthcare systems to report improvement work, SQUIRE-ENV will help embed sustainability into how QI initiatives are designed, documented, and shared. Publication is anticipated in 2026.
Site web
EcovaMed Life Cycle Assessment
Ecovamed publishes a first comparative study on the carbon footprint of nitrile gloves depending on the production country, and the correlation with its Environmental Label of Origin
Article
Quebec campaign – Les gants, pas tout le temps!
Launched in fall 2023 in collaboration with the Réseau d’Action pour la Santé Durable du Québec (RASDQ), the Association québécoise des médecins pour l’environnement (AQME), Synergie Santé Environnement (SSE) and CASCADES, and with the support of the Association des médecins d’urgence du Québec (AMUQ) and Choisir avec soin, the “Les Gants, pas tout le temps” campaign aims to raise awareness among healthcare personnel of the appropriate use of gloves, as proposed by the WHO in the information sheet on glove use.
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Sustainability-Embedded Quality Improvement (SE-QI) Toolkit : Train-the-Trainer (slide deck)
A slide deck introducing the SE-QI framework and toolkit.
Diapositives
Project Charter Tool
This charter can be used as a stand-alone resource or alongside existing organizational templates. It is a structured tool that builds on the Model for Improvement by integrating sustainability prompts into standard project charter components. It follows the SE-QI approach, which embeds sustainability within existing QI steps and structures, rather than adding it as a separate process. Prompts are woven throughout core elements such as scope, problem definition, and measurement planning. Each slide also includes accompanying speaking notes with additional guidance for each step.
Charte de projet
WHO Glove Use Information Leaflet
Outline of the evidence and considerations on medical glove use to prevent germ transmission
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