Implementation of Enhanced Recovery After Surgery: a strategy to transform surgical care across a health system

Implementation Science : IS
Leah M GramlichGregg Nelson

Abstract

Enhanced Recovery After Surgery (ERAS) programs have been shown to have a positive impact on outcome. The ERAS care system includes an evidence-based guideline, an implementation program, and an interactive audit system to support practice change. The purpose of this study is to describe the use of the Theoretic Domains Framework (TDF) in changing surgical care and application of the Quality Enhancement Research Initiative (QUERI) model to analyze end-to-end implementation of ERAS in colorectal surgery across multiple sites within a single health system. The ultimate intent of this work is to allow for the development of a model for spread, scale, and sustainability of ERAS in Alberta Health Services (AHS). ERAS for colorectal surgery was implemented at two sites and then spread to four additional sites. The ERAS Interactive Audit System (EIAS) was used to assess compliance with the guidelines, length of stay, readmissions, and complications. Data sources informing knowledge translation included surveys, focus groups, interviews, and other qualitative data sources such as minutes and status updates. The QUERI model and TDF were used to thematically analyze 189 documents with 2188 quotes meeting the inclusion criteria. Data sour...Continue Reading

References

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Citations

Mar 31, 2018·Diagnosis·Mark L GraberStephen Claypool
Aug 29, 2018·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Angela ByrnesJudy Bauer
Oct 12, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Gretchen GlaserAbraham Peedicayil
Nov 16, 2018·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Chelsia GillisLeah Gramlich
Aug 28, 2019·Surgical Endoscopy·Thomas A AloiaTonia M Young-Fadok
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May 16, 2020·Journal of Cardiothoracic Surgery·Alina-Maria BudacanBabu Naidu
Oct 27, 2017·Updates in Surgery·Josefin Segelman, Jonas Nygren
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Mar 6, 2021·BMC Health Services Research·Joanne EnticottHelena Teede
May 23, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Michelle BrownD Dante Yeh
Jun 3, 2021·Healthcare·Jenna K Lovely, David W Larson
May 25, 2021·Quality Management in Health Care·Brittany KruseVijaya Gottumukkala
Jul 25, 2021·International Journal of Environmental Research and Public Health·Yiğit KazançoğluCaner Taçoğlu
Jul 20, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Judith Dyson, Fiona Cowdell
Aug 3, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Leslee HasilChelsia Gillis
May 26, 2018·Journal of Clinical Anesthesia·Gildasio S De Oliveira

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Software Mentioned

SharePoint
EIAS
ERAS®
AHS
ERAS
QUERI
NVivo
ERAS® Interactive Audit System ( EIAS )

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