Introduction:

Climate change is attributed directly or indirectly to human activity, as this alters the composition of the atmosphere, in conjunction with the natural variability of the climate. Hence, hospital institutions require control and management of wastes and hazardous substances during the provision of their services.

Objective:

Assess the implementation of good practices in the sustainable use of water resources, electrical energy, the safe administration of hazardous substances and the reasonable management of waste produced by the services at the Provincial Pediatric Hospital of Holguín for environmental management and the fight against climate change.

Methods:

A longitudinal study was carried out on all hospital processes, using qualitative and explanatory research technique. The case study was used as a research strategy to develop the preparation and diagnosis phases, followed by a projection stage of implementation. Finally, the evaluation and improvement of the identified problem was carried out, with sustainability criteria from the organizational management according to hospital activity levels.

Results:

Considerable water savings were obtained (64 877 m3) and a significant decrease in budget expenses (348 000 pesos), as well as a power factor between 0.92 and 1.0 that shows the conversion into work of they energy consumed. A significant reduction in fixer fluid was obtained in radiographic studies and the handling of hazardous substances (Rx fixer liquid) was improved.

Conclusions:

To respond to the needs of change in the way hospital processes are managed, it is necessary to resort to consumption control tools, analysis, standards and procedures that allow them to be improved, according to the levels of activity in the services.

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