An important article by ERAS® Society representatives about the barriers and more importantly, solutions to the implementation of successful ERAS pathways.
A validation of Swedish hospitals applying ERAS® through the use of the ERAS® Interactive Audit System (EIAS) was recently published by Ulf Gustafsson et al in the World Journal of Surgery.
To date, ERAS has achieved significant benefit for patients and health systems; however, improvements are still needed, particularly in the areas of patient optimization and systematic implementation. During this time of global crisis, the ERAS method of delivering care is required to take surgery and anesthesia to the next level and bring improvements in outcomes to both patients and health systems.
A newly published article based on a survey among ERAS® Nurses, brings up factors such as improving patient outcomes and satisfaction being rated as main motivators for an ERAS® implementation. Further, in order to sustain a successful ERAS® Implementation, factors such as continuous staff education and coordination beyond the implementation period, appear to be of utmost importance.
Alberta Health Services in Canada have been adopting the ERAS® program for several years showing good results. They have performed a return on investment analysis based on their implementation of several protocols (colorectal, pancreas, cystectomy, liver and gynecology) throughout 9 hospitals including about 10,000 patients. Their result shows a return of investment ratio of 1.05 to 7.31, meaning that every dollar invested in ERAS® brought $1.05 to $7.31 in return.
Turning “waiting lists” for elective surgery into “preparation lists” In a new editorial in the British Journal of Anaesthesia, Prof Dileep Lobo and colleagues argue that it is time to sit back and rethink how we view ‘waiting lists’ for elective surgery. The article is titled “Turning ‘waiting lists’ for elective surgery into
The post Covid-19 surgical backlog: Now is the time to implement ERAS® Applying ERAS® to reduce the Post Covid-19 Surgical backlog while at the same time “massively improve patient safety and outcomes” as well as “increasing capacity and driving down cost of care”. Members of the ERAS® Society Executive Committee; Prof Olle Ljungqvist,
Based on real costs and including specific costs due to the implementation, the ERAS program in gynecologic surgery induced significant decrease of overall costs by $4.381 per patient.
Newly published articles in JAMA Surgery emphasizes the importance of multidisciplinary team work as well as continuous audit and follow up for sucessful ERAS® work.
10 years’ Experience with an international Web-Based Clinical and Research Perioperative Care Database” shows that the ERAS® Interactive Audit System (EIAS) supports the collaborative clinical effort in driving quality improvement in the perioperative care in a short time frame, in an international context.