摘要:Personal and physical injuries are two of the most relevant costs to hospitals. Hospital laundries are sources of these costs due to the physical and health risks present in the clothes and the activities performed. Energy and environmental risk and infrastructure issues also incur operational costs to these organizations and to the health system. This research analyzes the social, environmental, and economic risk in the hospital laundry process, through a multiple-case-study design. Data collection methods include interviews regarding three hospital laundry services in Brazil. The processes of these laundry services have a high consumption of resources (water and energy) and a substantial generation of solid and liquid wastes. Cost reduction actions include pooled laundry services and material substitution. There are also social and environmental risks, the most frequent being ergonomic, biological, and chemical hazards, and injures from sharp devices inadequately disposed. Hospital laundries need more sustainable operations, not only in the infrastructure, but also mostly in the awareness of leaders and teams about the importance of their engagements to resource management and waste reduction in laundry. It is opportune to convince professionals and users about changing habits that do not prioritize sustainability, especially its social and environmental aspects.