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Introducing Enhanced Recovery Programs into Practice: Lessons Learned from the ERAS® Society Implementation Program

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Enhanced Recovery After Surgery

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Abstract

Effective implementation of enhanced recovery after surgery (ERAS) into daily clinical practice is the cornerstone for a successful program but is often challenging due to the multifactorial nature of ERAS. Certain barriers to the enhanced recovery program still exist despite the extensive evidence base that supports its use in surgical specialties following elective surgery. The ERAS® Society Implementation Program (EIP) has been developed alongside a robust audit system with a view to support teams to successfully implement ERAS while also gathering key data points to highlight clinical outcomes as well as measure compliance to the various perioperative elements of ERAS.

The purpose of this chapter is to describe ERAS implementation in general but with a focus on the framework and content of an EIP, bring to light limiting factors, discuss keys to success, and discuss the results obtained through implementation standardization. The chapter aims to consider potential barriers to ERAS implementation and reflect on experiences of the implementation process that have been highlighted by ERAS coaches and ERAS teams around the world.

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Author information

Authors and Affiliations

  1. Department of Visceral Surgery, Lausanne University Hospital (CHUV), Lausanne, Vaud, Switzerland

    Valérie Addor

  2. Department of Surgical Services – Colorectal Unit, Western General Hospital, NHS Lothian, Edinburgh, Scotland, UK

    Angie Balfour

  3. Department of Surgery, Örebro University Hospital Department of Surgery, Örebro, Sweden

    Olle Ljungqvist

Authors
  1. Valérie Addor
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  2. Angie Balfour
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  3. Olle Ljungqvist
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Corresponding author

Correspondence to Valérie Addor .

Editor information

Editors and Affiliations

  1. Department of Surgery, Örebro University Hospital, Örebro, Sweden

    Olle Ljungqvist

  2. Yeovil District Hospital NHS Foundation Trust Higher Kingston, Yeovil, Somerset, UK

    Nader K. Francis

  3. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s, Hospital Harvard Medical School, Boston, MA, USA

    Richard D. Urman

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Addor, V., Balfour, A., Ljungqvist, O. (2020). Introducing Enhanced Recovery Programs into Practice: Lessons Learned from the ERAS® Society Implementation Program. In: Ljungqvist, O., Francis, N., Urman, R. (eds) Enhanced Recovery After Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-33443-7_60

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  • DOI: https://doi.org/10.1007/978-3-030-33443-7_60

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-33442-0

  • Online ISBN: 978-3-030-33443-7

  • eBook Packages: MedicineMedicine (R0)

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