{
  "abstract": "Healthcare contributes to the climate change, with operating theatres among the most resource‐intensive environments. Although technological solutions to mitigate this exist, behavioural factors remain under‐recognised barriers to sustainable surgical practice. This perspective examines status quo bias as a driver of reliance on single‐use devices in surgery, one of the contributors to the carbon footprint of operating rooms. Drawing on behavioural economics, historical examples, and surgical data, we explore how entrenched defaults, training culture, and lack of feedback perpetuate waste without improving outcomes. Addressing status quo bias through redesigned defaults, feedback mechanisms, and cultural change is essential to advancing responsible surgical care.",
  "abstract_shown": true,
  "affiliations": [
    "Department of General Surgery, Department of Health and Human Services Royal Hobart Hospital Hobart Tasmania Australia",
    "Epworth HealthCare Melbourne Victoria Australia",
    "Parkville Campus University of Melbourne Parkville Victoria Australia",
    "Department of Critical Care The University of Melbourne Parkville Australia",
    "Tasmanian Behavioural Lab University of Tasmania Hobart Tasmania Australia"
  ],
  "article_type": "other",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Chen Lew",
      "orcid": "0000-0001-8901-4027"
    },
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Arun Dhir",
      "orcid": "0009-0004-6002-9136"
    },
    {
      "affs": [
        1
      ],
      "name": "Ben Dunne",
      "orcid": "0000-0002-6248-1642"
    },
    {
      "affs": [
        3
      ],
      "name": "Eugenie Kayak",
      "orcid": "0000-0003-1462-8838"
    },
    {
      "affs": [
        4
      ],
      "name": "Robert Hoffmann",
      "orcid": "0000-0001-7763-4392"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ezs7mzrfvz2fs.bib",
  "cited_by": 0,
  "doi": "10.1111/ans.70887",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13724772/",
  "id": "ezs7mzrfvz2fs",
  "issns": [
    "1445-1433",
    "1445-2197"
  ],
  "landing_url": "https://doi.org/10.1111/ans.70887",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Perspective"
    ],
    [
      "openalex",
      "3600|Healthcare cost, quality, practices"
    ]
  ],
  "openalex": "W7171432861",
  "pdf_url": null,
  "pmcid": "PMC13724772",
  "pmid": "42509200",
  "published": "2026-07-27",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/ezs7mzrfvz2fs.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T12:23:17Z",
      "native_id": "PMC13724772",
      "source": "pmc",
      "url": "https://doi.org/10.1111/ans.70887"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:F27",
      "subfield": "general"
    }
  ],
  "title": "Status Quo Bias: An Overlooked Barrier to Sustainable Surgical Care",
  "title_text": "Status Quo Bias: An Overlooked Barrier to Sustainable Surgical Care",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:21:10Z",
  "url": "https://research.draconitic.com/paper/ezs7mzrfvz2fs",
  "venue": "Anz Journal of Surgery",
  "versions": []
}