Here you can find relevant journal and conference papers from Erasmus MC, EUR and TU Delft.
Journal Papers (Erasmus MC – TU Delft – EUR)
2026
Hoveling, T., Ijzenbrandt, J., Hinrichs-Krapels, S., Ritzen, L., Bramer, W. M., van Raaij, E., Faludi, J., Bakker, C., & Diehl, J.-C. (2026). Mapping circular economy product and material flows in healthcare: A visual taxonomy. Journal of Cleaner Production, 538, 147258. R-Strategies
Klasen, J., Rijcks, S., Gommers, D., Diehl, J. C., & Hunfeld, N. (2025). Circular material flow of medication in the intensive care unit. Critical Care, 29(1), 205. Medication, Material Flow Analysis, Packaging
Richie, C., Hinrichs-Krapels, S., Dobbe, R., French, P., Wei, J. C. J., Diehl, J. C., & Kong, R. (2025). Environmental impacts of artificial intelligence in health care: considerations and recommendations. Health and Technology, 15(6), 1087-1093. AI, Environmental Impact.
Özçelik, A., De Koning, J., Hunfeld, N., and Diehl, J. (2026) Dropping Pebbles: The Ripple Effect of Designerly Co-creation in Steering Sustainability Transitions in Hospitals, in Simeone, L., Gray, C. M., Verhoeven, A., de Götzen, A., Bakırlıoğlu, Y., Zohar, H., Stead, M., and Buwert, P. (eds.), DRS2026: Edinburgh, 8–12 June, Edinburgh, United Kingdom. Co-creation – Transitions
Izci, C. B., Clercx Lao, M. S., Vegting, B., Siersema, P. D., Tietschert, M. V., Hunfield, N. G. M., Diehl, J.-C., & de Jonge, P. J. F. (2026). Opportunities to reduce the environmental impact of endoscopy: a detailed material flow analysis of diagnostic colonoscopy. Endoscopy, 58(06), 618-626. Endoscopy, Waste Audit, Material Flow Analysis
2025
Huijben J, van Raaij E, Wagelmans A, Piscicelli L, Shen W-S, van Vliet B, Gommers D, Tibboel D, Bakker E, Dekkers F, van Leeuwen R, Diehl JC and Hunfeld N (2025) Accelerating the transition from a linear to a circular healthcare sector: ESCH-R: study design and methodology. Front. Public Health 13:1542187.
Smale, E., Baid, H., Balan, M., McGain, F., McAlistar, S., de Waele, J. J., Diehl, J. C., van Raaij, E., van Genderen, M., Tibboel, D., & Hunfeld, N. (2025). The green ICU: how to interpret green? A multiple perspective approach. Critical Care, 29(1), 80. ICU
Van Der Zee S, Verhoog T, Post T, et al. Nudging intensive care unit personnel towards sustainable behaviour. Nurs Crit Care. 2025;30(1):37-46. doi:10.1111/nicc.13086
2024
van den Berg, L., Albayrak, A., Hunfeld, N., & Diehl, J. C. (2024). Towards Greener ICUs: Redesigning the Use of Disposable Gloves. In M. Melles, & R. H. Goossens (Eds.), Springer Series in Design and Innovation: Proceedings of the International Conference on Healthcare Systems Ergonomics and Patient Safety, HEPS2022 (pp. 213-223). ICU, Gloves
Hoveling, T., Svindland Nijdam, A., Monincx, M., Faludi, J., & Bakker, C. (2024). Circular economy for medical devices: Barriers, opportunities and best practices from a design perspective. Resources, Conservation and Recycling, 208, 107719.
Honkoop, M., Albayrak, A., Balkenende, R., Hunfeld, N., & Diehl, J. C. (2024). Reducing the Environmental Impact of Syringes at the Intensive Care Unit. In M. Melles, & R. H. Goossens (Eds.), Springer Series in Design and Innovation: Proceedings of the International Conference on Healthcare Systems Ergonomics and Patient Safety, HEPS2022 (pp. 225–234). ICU, Syringes
Ville, A., Hunfeld, N., Bakker, C., Sené, B., & Diehl, J. C. (2024). Towards Circular ICUs: Circular Intubations as a Catalyser for Systemic Change. In M. Melles, & R. H. Goossens (Eds.), Springer Series in Design and Innovation: Proceedings of the International Conference on Healthcare Systems Ergonomics and Patient Safety, HEPS2022 (pp. 235–244).
2023
Hunfeld, N., Jan-Carel, D., Zee, S. v. d., & Raaij, E. v. (2023). The Green Intensive Care: From Environmental Hotspot to Action. ICU Management & Practice, 32(3).
2022
Hunfeld, N., Diehl, J. C., Timmermann, M., van Exter, P., Bouwens, J., Browne-Wilkinson, S., de Planque, N., & Gommers, D. (2022). Circular material flow in the intensive care unit—environmental effects and identification of hotspots. Intensive Care Medicine.
Hinrichs-Krapels, S., Diehl, J.-C., Hunfeld, N., & van Raaij, E. (2022). Towards sustainability for medical devices and consumables: The radical and incremental challenges in the technology ecosystem. Journal of Health Services Research & Policy.
2020
Guzzo, D., Carvalho, M. M., Balkenende, R., & Mascarenhas, J. (2020). Circular business models in the medical device industry: paths towards sustainable healthcare. Resources, Conservation and Recycling, 160, 104904.
2018
Kane, G. M., Bakker, C. A., & Balkenende, A. R. (2018). Towards design strategies for circular medical products. Resources, Conservation and Recycling, 135, 38-47.