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In this 45-minute webinar, the ERAS® team from Gleneagles Hospital Johor in Malaysia and their ERAS® trainer, Dr Vera Lim from Tan Tock Seng Hospital in Singapore, share what it takes to bring ERAS® from guideline to daily practice. It is aimed at surgeons, anaesthesiologists, nurses, allied health professionals and hospital leaders who are planning or starting an ERAS® implementation. You will learn how the ERAS® Implementation Program is structured, how the team gained buy-in from clinicians and management, and how data and audit keep the pathway improving.
Dr Vera Lim describes the four seminars of the ERAS® Implementation Program: mapping the current pathway and baseline against the 20 or so recommendations in the ERAS® guidelines, co-designing a local pathway, testing it on one patient before launch, and measuring compliance and outcomes – a process that typically takes 8 to 12 months. Dr Shahridan Mohd Fathil explains why Gleneagles Hospital Johor started: the team was only delivering a small share of the elements rather than the 70–80% needed to make an impact, and he made the case to management around bed capacity and fewer complications. He also describes how informal conversations and documentation won over colleagues, and how the hospital became, in his words, the first in Malaysia certified in three surgical areas. Dr Loi Kai Weng describes the baseline before ERAS® – no standardised protocols and length of stay that varied between surgeons – and Ernizah Hamzah shows how nurses bring the pathway to the bedside by asking why a patient has not mobilised. The session closes with how audit data in the ERAS® Interactive Audit System (EIAS) is fed back to teams and used to assess ERAS® qualification, and with each speaker's advice for teams yet to start.
Speakers
- Dr Vera Lim
Senior Consultant, Anaesthesiology, Tan Tock Seng Hospital, Singapore – ERAS® trainer for the Gleneagles Hospital Johor implementation; explains the ERAS® Implementation Program, baseline measurement and the role of data. - Dr Shahridan Mohd Fathil
Consultant Anaesthesiologist and ERAS® Lead & Advisor, Gleneagles Hospital Johor, Malaysia – describes why the hospital started ERAS®, how management approval was secured and how the team gained buy-in. - Siti Noor Ernizah Hamzah
Staff Nurse and ERAS® Coordinator, Gleneagles Hospital Johor, Malaysia – describes the support from the trainers and the role of nurses and the ERAS® coordinator. - Dr Loi Kai Weng
Consultant Orthopaedic Surgeon, Gleneagles Hospital Johor, Malaysia – lead surgeon for the arthroplasty pathway; describes the baseline before ERAS® and the multidisciplinary team. - Eva Reinander
Encare, Asia-Pacific – co-host; discusses the growth of ERAS® across Asia-Pacific. - Charlotte & Eva
Encare – host and moderator.
Chapters
- 00:00 Welcome and introduction
- 02:04 Introduction of the speakers
- 05:19 Key stages of the ERAS® Implementation Program
- 08:14 How long implementation takes
- 09:45 Why Gleneagles Hospital Johor started with ERAS®
- 12:15 Support from the ERAS® trainers
- 14:15 Working with motivated teams
- 15:52 Baseline practice and the biggest opportunities
- 17:20 What an ERAS® baseline measures
- 19:14 Common themes across Asian hospitals
- 21:15 Why ERAS® is growing in Asia-Pacific
- 23:36 Learning from visits to Tan Tock Seng Hospital
- 25:35 Gaining buy-in from surgeons, nurses and leadership
- 28:45 The role of the ERAS® nurse and coordinator
- 33:02 The multidisciplinary ERAS® team
- 35:02 Using data to drive change
- 37:52 EIAS and ERAS® qualification
- 38:56 Advice for teams about to start
- 42:42 Closing remarks
Related resources
- ERAS® Interactive Audit System (EIAS) – Encare's audit system for ERAS® compliance and outcomes
- ERAS® Implementation Program (EIP) – the structured programme described in the webinar
- ERAS® Qualification and the map of ERAS® Qualified Centers
- Gleneagles Hospital Johor becomes first in Malaysia to achieve ERAS® Qualification in Knee Arthroplasty
- ERAS® Society – guidelines and the ERAS® programme
- ERAS® Centres of Excellence, including Tan Tock Seng Hospital
- ERAS® hip & knee arthroplasty protocol, colorectal protocol and gynecology protocol
- Gleneagles Hospital Johor
- Tan Tock Seng Hospital
Want to see how EIAS can support ERAS® implementation and audit in your hospital? Book a demo