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Author: admin

Encare’s ERAS® Interactive Audit System (EIAS) Earns Qualification on Mayo Clinic Platform

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Stockholm, Sweden — Encare AB today announced that its ERAS® Interactive Audit System (EIAS) has been qualified as a solution on Mayo Clinic Platform_Solutions Studio.

EIAS is one of very few European solutions to earn this prestigious Qualification status.

Used in more than 30 countries, EIAS is the only audit platform developed in collaboration with the ERAS® Society to monitor adherence to ERAS® (Enhanced Recovery After Surgery) protocols across multiple surgical specialties. The qualification by Mayo Clinic Platform confirms the clinical relevance, operational robustness, and global impact of EIAS, paving the way for broader adoption across Mayo Clinic Medical Centers and its 38 partner health systems.

“Being qualified by Mayo Clinic Platform is the ultimate recognition of the value and quality of EIAS,” said Rasmus Waller, CEO of Encare AB. “It validates that our solution meets the highest standards for improving surgical outcomes, and it gives us a unique opportunity to accelerate ERAS® adoption in the U.S. and globally.”

Mayo Clinic Platform_Solutions Studio accelerates the development and deployment of digital health solutions by offering access to global, federated de-identified data and scalable integration into clinical workflows. Each solution is evaluated for its intended use, proposed value, and clinical and algorithmic performance — providing transparency, credibility, and enabling adoption of transformative health technologies.

“Working with Mayo Clinic Platform speeds up digital healthcare innovation. It gives digital health companies the tools, data, and capabilities they need to more efficiently and effectively develop and deploy AI and data-centric solutions. When a solution is qualified, providers can trust it has been reviewed for adherence to responsible AI principles, all aimed at supporting care teams and improving patient outcomes,” says Steve Bethke, VP of Solution Developer Market at Mayo Clinic Platform.

 

About Encare AB

Encare is a HealthTech company that develops a SaaS solution that contributes to improving surgical outcomes. Encare’s interactive, cloud-based solution enables healthcare providers to follow international treatment guidelines before, during, and after major surgical procedures. Encare’s service contains programs, so-called protocols, based on the international guidelines ERAS®, Enhanced Recovery After Surgery, built on research and global best practice. Encare was founded in 2009 by Professor Olle Ljungqvist, one of the founders of the ERAS® Society – a network of world-leading perioperative care authorities that develops the guidelines. In 2022, Professor Ljungqvist was awarded the most prestigious prize in the world of surgery by the International Society of Surgery (SS/SIC) for his work with ERAS®. To learn more, visit encare.net and follow Encare on LinkedIn.

 

Mayo Clinic does not endorse or warrant the third-party products or services made available through Mayo Clinic Platform, including their functionality, quality, or performance. Mayo Clinic expressly disclaims any express or implied warranties on such third-party products or services, including any implied warranties of merchantability, quality, accuracy, fitness for a particular purpose, or noninfringement. All use of these third-party products or services, including applicable rights or remedies, are governed by separate terms with the applicable third-party developers or providers.

(Webinar) Implementing ERAS® in Hip & Knee Arthroplasty | 4 September 2025 | Online

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(Webinar) Implementing ERAS® in Hip & Knee Arthroplasty | 4 September 2025 | Online | Register here

(Webinar) ERAS® Implementierung in der Gynäkologie | 29 August 2025 | Online

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(Webinar) ERAS® Implementierung in der Gynäkologie | 29 August 2025 | Online | Register here

(Congress) ERAS® World Congress |  17-19 September 2025 | Turin, Italy 

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(Congress) ERAS® World Congress |  17-19 September 2025 | Turin, Italy

(Congress) Viszeralmedizin 2025 | 15-20 september 2025 | Online

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(Congress) Viszeralmedizin 2025 | 15-20 september 2025 | Online

𝐃𝐨 𝐲𝐨𝐮 𝐭𝐡𝐢𝐧𝐤 𝐲𝐨𝐮𝐫 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥 𝐟𝐨𝐥𝐥𝐨𝐰𝐬 𝐄𝐑𝐀𝐒®? 𝐓𝐡𝐢𝐧𝐤 𝐚𝐠𝐚𝐢𝐧.

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𝐃𝐨 𝐲𝐨𝐮 𝐭𝐡𝐢𝐧𝐤 𝐲𝐨𝐮𝐫 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥 𝐟𝐨𝐥𝐥𝐨𝐰𝐬 𝐄𝐑𝐀𝐒®? 𝐓𝐡𝐢𝐧𝐤 𝐚𝐠𝐚𝐢𝐧.

Too often, what’s labeled “standard of care” falls short of ERAS® goals.

In this clip from a webinar hosted by SurgeOn – Surgery Unified, Professor Olle Ljungqvist demonstrates how even basic practices, such as IV antibiotics, vary significantly across hospitals.

 

That’s why structure, measurement, and real compliance matter.

The truth? 𝐓𝐡𝐞𝐫𝐞 𝐢𝐬 𝐧𝐨 𝐬𝐭𝐚𝐧𝐝𝐚𝐫𝐝 𝐨𝐟 𝐩𝐞𝐫𝐢𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐜𝐚𝐫𝐞—𝐮𝐧𝐥𝐞𝐬𝐬 𝐲𝐨𝐮 𝐦𝐞𝐚𝐬𝐮𝐫𝐞 𝐢𝐭.

Which ERAS® element contributes the most?

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Cherry-picking won’t cut it.

Prof. Olle Ljungqvist explains how the biggest gains in ERAS® come from protocol-wide compliance.

Raising adherence from 50% to 80%+ leads to major drops in complications and length of stay—because nearly every element contributes.

Watch this powerful excerpt from a webinar hosted by SurgeOn – Surgery Unified.
Then ask yourself: how compliant is your hospital?

💡 Not sure? The ERAS Flash Audit from Encare can help you find out.

Policlinico San Marco, department of General, Oncologic and Bariatric Surgery – receives the ERAS® Qualification!

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The Policlinico San Marco (part of Gruppo San Donato) in Italy is a high volume Center for Bariatric Surgery and a primary center for General surgery. They recently completed their ERAS® Implementation Program within Bariatric and Colorectal Surgery.

Lead by Prof. Stefano Olmi & Dr. Giovanni Cesana, the teams started their ERAS® journey late 2022 and both teams have during the program been able to adapt and modify many of the peri-operative processes in their clinical practice, to further enhance and improve patient outcome.

The team has been supported by Encare’s partner Medtronic and they were trained by Dr Guido Liddo, and Dr Stéphane Ilunga as well as ERAS® Coach Agathe Gennin of the ERAS® Center of Excellence Valenciennes Hospital, France.

We wish them continued success in sustaining their ERAS® work and improve care for their patients!

To learn more how to become ERAS® Qualified, please read more here.

Elevate Your Perioperative Surgery Standards with ERAS® Protocols

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Elevate Your Perioperative Surgery Standards with ERAS® Protocols

A consistent, high standard of care across all service lines is critical to reduce variability and improve patient outcomes after surgery. Implementing Enhanced Recovery After Surgery (ERAS®) protocols is a proven strategy to achieve this goal, establishing a unified approach that guarantees every patient receives the same level of excellence, no matter where or what type of surgery they undergo.

Introducing ERAS® Essentials – Simplifying Excellence Across All Surgical Service Lines

Encare now introduces ERAS® Essentials, a groundbreaking protocol designed to extend the benefits of Enhanced Recovery After Surgery across a range of surgical service lines within the healthcare system. ERAS® Essentials is based on the comprehensive principles outlined in “Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes” ERAS® Essentials is designed to scale and covers both emergency and elective surgeries.

The Critical Need for a Unified Standard of Care

Traditionally, ERAS® guidelines have been developed for specific surgical procedures, such as pancreaticoduodenectomy or colorectal resections.1 However, the need for a consistent, cross service line standard of care has led to the development of ERAS® Essentials, which provides evidence-based recommendations that can be applied across various surgical procedures.

Implementing ERAS® across service lines ensures that all patients, whether undergoing emergency or elective surgeries, benefit from the principles of enhanced recovery. ERAS® Essentials serves as a foundational step, providing a strong framework that can support broader applications of ERAS® principles across various surgical procedures as needed in the future. This holistic approach allows for broader and faster application of ERAS® protocols, improving outcomes for a wider range of patients.

Elevating Care Through Benchmarking and Global Collaboration

ERAS® Essentials enables benchmarking on a global, national and local level to drive continuous improvement towards best-in-class patient outcomes. Being part of the ERAS® community connects your healthcare system with an international network of high-quality providers. This global collaboration fosters the exchange of best practices, insights, and innovations, ensuring that your institution remains at the forefront of surgical care excellence.

Key Benefits of Implementing ERAS® Essentials Across All Surgical Service lines

  • Consistency in Care ERAS® Essentials is designed to help the care provider ensure that every patient, undergoing major surgery, receives the same high level of care. This uniformity is crucial in minimizing risks, reducing variability, and ensuring patient safety, as well as length of stay, regardless of the surgical team or procedure.4
  • Improved Patient Outcomes By standardizing care across all service lines, the use of ERAS® Essentials helps the hospital team to reduce complications, shorten hospital stays, and accelerate recovery times. Research shows that patients managed under ERAS® Protocols consistently experience better outcomes across various surgical disciplines. 2,3
  • Cost Efficiency Standardizing care not only improves outcomes but also reduces costs. By being able to minimize complications and readmissions, the use of ERAS® Essentials drives significant cost savings, making it a financially sound choice for any healthcare provider. 4, 5
  • Service Line Agnostic ERAS® Essentials is designed to be adaptable across a range of surgical disciplines, ensuring that every surgical department benefits from the same rigorous, evidence-based care protocols, whether for emergency or elective surgeries. 6, 7
  • Enhancing WHO Surgical Safety Compliance ERAS® Essentials covers the key aspects of the WHO Surgical Safety Checklist and integrates elements that complement ERAS protocols, reinforcing critical safety practices. This combined approach aligns surgical teams with evidence-based strategies, promoting patient safety and optimized recovery.8

Implementing ERAS® Essentials – A Commitment to Consistency and Excellence

By adopting ERAS® Essentials across a range of surgical service lines, healthcare providers can ensure a high minimum level of standard care for every patient. This unified approach not only improves patient outcomes but also fosters a culture of excellence and continuous improvement throughout the entire healthcare system. As the first critical step, ERAS® Essentials lays the groundwork for the implementation of more specific ERAS® protocols tailored to individual surgical procedures. Join the growing number of healthcare facilities worldwide that are implementing ERAS® Essentials to create a cohesive standard of care across all surgical service lines. This commitment to consistency will not only elevate patient outcomes but also enhance operational efficiency, reduce costs, and solidify your reputation as a leader in high-quality, patient-centered care. For more information on implementing continuous auditing in your institution, please contact us at Encare.

References

  1. Engelhardt KE, Greenberg RS, Golub RM. Perioperative Care of Neonates: Enhanced Recovery After Surgery (ERAS®) Guidelines. JAMA Surg. 2023;158(2):108-118
  2. Varadhan KK, Neal KR, Dejong CH, Fearon KC, Ljungqvist O, Lobo DN. The enhanced recovery after surgery (ERAS®) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr. 2010;29(4):434-440.
  3. Greco M, Capretti G, Beretta L, Gemma M, Pecorelli N, Braga M. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. *World J Surg*. 2014;38(6):1531-1541.
  4. Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg. 2017;152(3):292-298.
  5. Lee L, Li C, Landry T, Latimer E, Carli F, Fried GM. A systematic review of economic evaluations of enhanced recovery pathways for colorectal surgery. Ann Surg. 2014;259(4):670-676.
  6. Abola RE, Gan TJ. Enhanced recovery after surgery programs: controversies and answers. Best Pract Res Clin Anaesthesiol. 2019;33(1):99-112.
  7. Barber EL, Van Le L. Enhanced recovery pathways in gynecology and gynecologic oncology. Obstet Gynecol Surv. 2015;70(12):780-792.
  8. Pilkington M, Nelson G, Cauley C, Holder K, Ljungqvist O, Molina G, Oodit R, Brindle M.E. Development of an Enhanced Recovery After Surgery Surgical Safety Checklist Through a Modified Delphi Process. JAMA 2023:6(2):e2248460.

WHY CONTINUOUS AUDITING IN PERIOPERATIVE CARE?

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WHY CONTINUOUS AUDITING IN PERIOPERATIVE CARE?

  • Continuous Auditing of Surgical Processes: Enhancing Patient Outcomes and Operational Efficiency.

“It is not enough to do your best; you must know what to do, and then do your best.” /W. Edwards Deming

In the rapidly evolving healthcare landscape, continuous auditing of surgical processes is crucial for improving patient outcomes and operational efficiency. Extensive research supports this practice, demonstrating the significant impact of systematic monitoring and evaluation in surgical care.

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The ERAS® Interactive
Audit System (EIAS)

Why Continuous Auditing in Perioperative Care

  1. Improved Patient Outcomes
    Of the 313 million major surgeries performed globally every year, as many as 50 million patients experience complications after surgery. Studies indicate that up to half of these complications are preventable if best practices are followed. Continuous auditing allows for real-time monitoring of surgical processes, enabling immediate identification and rectification of deviations from best practices. Proactive auditing significantly reduces postoperative complications and enhances overall patient recovery rates.

  2. Data-Driven Decision Making
    Regular audits generate a wealth of data that can be analyzed to identify trends, areas for improvement, and the effectiveness of implemented changes. This data-driven approach ensures clinical decisions are based on empirical evidence, leading to more effective and efficient patient care strategies.

  3. Standardization of Care
    Auditing helps standardize surgical procedures by ensuring adherence to established protocols and guidelines. This uniformity in practice reduces variability in patient outcomes and fosters a culture of excellence and reliability within surgical teams.

  4. Cost Efficiency
    By identifying inefficiencies and areas of waste, continuous auditing contributes to significant cost savings. Improved surgical outcomes and reduced complication rates lead to shorter hospital stays and lower overall healthcare costs. Furthermore, better quality care often results in lower costs, as highlighted in value-based healthcare models, which emphasize that higher quality care leads to fewer complications, readmissions, and resource utilization.

  5. Enhanced Accountability and Compliance
    Regular audits ensure surgical teams remain accountable for their practices, fostering a culture of continuous quality improvement and compliance with regulatory standards. This accountability is crucial for maintaining high standards of patient safety and adherence to national and regional quality standards and requirements.

  6. Comprehensive Compliance with ERAS® Guidelines
    The Enhanced Recovery After Surgery (ERAS)® Guidelines encompass a comprehensive set of compliance items, including preoperative, intraoperative, and postoperative care protocols. Continuous auditing ensures adherence to these guidelines, designed to optimize patient outcomes and recovery. Monitoring compliance with each element of ERAS® protocols helps identify gaps in practice and areas for improvement, leading to more consistent and high-quality care.

 

HOW TO AUDIT?

  • Implementing Continuous Auditing in Surgical Processes.

  1. Establish Clear Objectives
    Define specific goals for the auditing process, such as reducing infection rates, improving adherence to surgical techniques, or enhancing patient satisfaction. Start by establishing a pre-ERAS® baseline to define and set these objectives effectively.

  2. Implement Standardized Comprehensive Audit Tool
    Utilize a proven standard tool like the international ERAS® Interactive Audit System (EIAS) instead of developing local tools, which may lack consistency and comprehensiveness. EIAS ensures robust data collection, allowing for effective monitoring, continuous improvement, and participation in multi-center and multi-country clinical trials and research.

  3. Train and Empower StaffTrain and Empower Staff
    Ensure all members of the surgical team are adequately trained in the auditing process and understand its importance. Training should also include the latest best practices, such as ERAS® guideline knowledge and understanding. Empower staff to actively participate in audits and contribute to continuous improvement efforts.

  4. Utilize Technology
    Leverage technology to streamline the auditing process, such as electronic health records (EHR) systems and data analytics platforms. Dedicated ERAS auditing tools like EIAS are crucial, as locally developed tools often lack the consistency and comprehensiveness necessary for effective auditing and do not enable international benchmarking and research.

  5. Foster a Culture of Continuous Improvement
    Encourage a culture where continuous improvement is valued and rewarded. Regularly review audit findings with the surgical team and collaboratively develop action plans to address identified issues.

  6. The Importance of Auditing Both Processes and Outcomes
    Measuring outcomes is essential, but it’s only part of the equation. Without auditing the processes that lead to these outcomes, healthcare providers are left reacting to issues rather than preventing them. Auditing processes allow for early detection and correction of problems before they impact patient results. This dual focus on both process and outcome data is critical for making fully informed, data-driven decisions.
    With actionable data from both processes and outcomes, providers can pinpoint specific areas of improvement within the surgical workflow, leading to more effective and timely interventions. This comprehensive approach enables providers to achieve better patient outcomes, improve patient safety and sustain these improvements over time, ultimately driving consistently higher standards of care and greater operational efficiency.

THE SHOW MUST GO ON!

The Rationale for Continuous Auditing

Continuous auditing should be an ongoing process rather than a time-limited project. Research has shown that ongoing audits lead to sustained improvements in patient outcomes, lower complication rates, and better adherence to protocols. Stopping the auditing process can result in regression to previous less effective practices and the loss of gains achieved through continuous improvement efforts. Therefore, maintaining a continuous auditing process is essential for long-term success and consistent quality of care.
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CONCLUSIONS

Continuous auditing of surgical processes is a cornerstone of modern surgical care, providing numerous benefits to both patients and healthcare institutions.
By embracing this practice, healthcare institutions can ensure the highest standards of patient care, operational efficiency, and compliance with quality standards. The commitment to continuous improvement ultimately leads to better patient outcomes, reduced healthcare costs, and a more resilient and effective healthcare system.

For more information on implementing continuous auditing in your institution, please contact us at Encare.

“You can’t manage what you don’t measure” /Peter Drucker
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DIY ERAS vs ERAS® by Encare

 

  • Guideline
    Interpretation
  • Compliance
  • Actionable Data

  • Updates and Improvements
  • Proven
  • International
    Community
  • ERAS® Qualification / Center of Excellence (CoE)
  • Availability
  • Technical and
    Clinical Support
  • Research

DIY ERAS

  • Dependent on the at all times locally available clinical knowledge and will not be 100 % in line with guideline author’s interpretation
  • At best partially compliant
  • At best partially - normally either only process data or outcome data

  • Ad hoc updates dependent on local resource constraints Not at the same time as the other ERAS hospitals
  • Reinvent the wheel

  • Not available
  • Not available
  • When the hospital has had the time and resources to develop the necessary tools
  • Requires internal support to be set up
  • Probably single center trials – national coverage at best

ERAS® by Encare

  • Encare develop the EIAS protocol with the ERAS® guideline author and ensure a 100 % interpretation including access to ERAS® Society trainers, coaches and authors
  • The only way to consistently monitor the official ERAS® compliance
  • Both comprehensive Process and Outcome data enabling to pinpoint specific areas of improvement
  • EIAS is a SaaS solution and when the ERAS® guideline is updated, the EIAS protocol is updated for all hospitals at the same time. The SaaS solution is continuously improved based on different input from all Encare customers
  • The solution has been battle tested at > 300 teams in + 30 countries for +15 years
  • Possible to benchmark your results with many of the most prominent hospitals in the world and take part in multi-center research projects as all gather data in an uniform way
  • If the team meets the ERAS® Society standards, the team will be awarded an ERAS® Qualification and can possibly become an ERAS® Center of Excellence
  • Instantaneously available once the contract is signed
  • Access to ERAS® clinical expertise or Encare solution support in the same support channel
  • Multi-center and multi-country trials enabling RRCTs

REFERENCES

  1. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. *Ann Surg*. 2008;248(2):189-198.

  2. Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. *JAMA Surg*. 2017;152(3):292-298.

  3. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations. *World J Surg*. 2013;37(2):259-284.

  4. Adamina M, Kehlet H, Tomlinson GA, Senagore AJ, Delaney CP. Enhanced recovery pathways optimize health outcomes and resource utilization: a meta-analysis of randomized controlled trials in colorectal surgery. *Surgery*. 2011;149(6):830-840.

  5. Greco M, Capretti G, Beretta L, Gemma M, Pecorelli N, Braga M. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. *World J Surg*. 2014;38(6):1531-1541.

  6. Melnyk M, Casey RG, Black P, Koupparis AJ. Enhanced recovery after surgery (ERAS) protocols: time to change practice? *Can Urol Assoc J*. 2011;5(5):342-348.

  7. Lee L, Li C, Landry T, Latimer E, Carli F, Fried GM. A systematic review of economic evaluations of enhanced recovery pathways for colorectal surgery. *Ann Surg*. 2014;259(4):670-676.

  8. Thiele RH, Rea KM, Turrentine FE, et al. Standardization of care: impact of an enhanced recovery protocol on length of stay, complications, and direct costs after colorectal surgery. *J Am Coll Surg*. 2015;220(4):430-443.

  9. Varadhan KK, Neal KR, Dejong CH, Fearon KC, Ljungqvist O, Lobo DN. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. *Clin Nutr*. 2010;29(4):434-440.

  10. Gustafsson UO, Hausel J, Thorell A, Ljungqvist O, Soop M, Nygren J. Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. *Arch Surg*. 2011;146(5):

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