This study was funded by the National Institute for Occupational Safety and Health (NIOSH) and the Environmental Protection Agency (EPA) and was aimed at developing an integrated pollution prevention and occupational safety and health intervention assessment strategy for hospitals. The article discusses possible changes, results of changes, and how long it took to successfully implement changes. For example, formaldehyde replacement required six months to complete, while conventional mopping replacement required six weeks. Other changes discussed included: replacement of xylene, mercury reduction, digital radiology imaging, as well as processes and procedures (Journal of Occupational and Environmental Hygiene, Volume - v3, Issue 4 April 2006 , pages 182 – 193).

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