Simulation of Electronic Waste Reverse Chains for the Sao Paulo Circular Economy: An Artificial Intelligence-Based Approach for Economic and Environmental Optimizations.

The objective of this study was to apply simulation and genetic algorithms for the economic and environmental optimization of the reverse network (manufacturers, waste managers, and recyclers in Sao Paulo, Brazil) of waste from electrical and electronic equipment (WEEE) to promote the circular economy. For the economic evaluation, the reduction in fuel, drivers, insurance, depreciation, maintenance, and charges was considered. For the environmental evaluation, the impact of abiotic, biotic, water, land, air, and greenhouse gases was measured. It was concluded that the optimized structure of the WEEE reverse chains for Sao Paulo, Brazil provided a reduction in the number of collections, thus making the most of cubage. It also generated economic and environmental gains, contributing to the strategic actions of the circular economy. Therefore, the proposed approach is replicable in organizational practice, which is mainly required to meet the 2030 agenda of reducing the carbon footprint generated by transport in large cities. Thus, this study can guide companies in structuring the reverse WEEE chains in Sao Paulo, Brazil, and other states and countries for economic and environmental optimization, which is an aspect of great relevance considering the exponential generation of WEEE.

Critical success factors for implementation of an incident learning system in radiation oncology department.

AIM: The aim of this study was to analyze critical success factors (CSFs) for implementation of an incident learning system (ILS) in a radiation oncology department (ROD) and evaluate the perception of the staff members along this process. BACKGROUND: Implementing an ILS is a way to leverage learning from incidents and is a tool for improving patient safety, consisting of a cycle of reporting and analyzing events as well as taking preventive actions. ILS implementation is challenging, requiring specific resources and cultural changes. MATERIALS AND METHODS: An ILS was designed and implemented based on the CSF identified in the literature review. Before starting the ILS implementation, a structured survey was applied to assess dimensions of patient safety culture. After the period of implementation (7 months), the survey was applied again and compared with the initial assessment, and interviews were performed with staff members to evaluate the overall satisfaction with ILS and CSFs. RESULTS: Statistically significant improvements were observed in 5 dimensions (12 totals) of the safety culture survey, considering time points before and after the ILS implementation. According to interviewees, "Facilitating committee", "Efficient data collection", "Focus on improvement", "Just culture" and "Feedback to users" were the most relevant CSFs. CONCLUSIONS: The ILS designed and implemented at ROD was perceived as an important tool to support quality and safety initiatives, promoting the improvement in safety culture. The ILS implementation critical success factors were identified and have shown good agreement between the results of the literature and the users' practical perception.