Use more detergent. Eliminate the rinse step to save water. Add a drying agent or lubricant after every cycle, even when it is not needed. Recycle water to reduce consumption. Add more chemicals to washers for disinfection and now add more chemicals to utility water for reprocessing.

In healthcare, a procedure tray is more than a place to hold instruments. It is part of the workflow that connects sterile processing, the O.R., supply chain, and patient care.

We’re talking about risk analysis, the process we go through before deciding on a given action. Whether it’s diet soda or donuts we'll do a casual risk analysis in our head.