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How to implement an enhanced recovery programme after colorectal surgery?

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Implementing enhanced recovery programs (ERP) faces challenges due to multifactorial barriers from healthcare teams and patients. Overcoming these requires improved trust and interdisciplinary collaboration for successful widespread adoption.

Keywords:
Surgerycolorectalenhanced recoveryimplementation

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Area of Science:

  • Surgical patient care
  • Healthcare management

Background:

  • Enhanced recovery after surgery (ERAS) concepts have existed for over two decades.
  • Despite its long history, widespread clinical implementation of ERAS remains a significant challenge.

Purpose of the Study:

  • To identify and address the bottlenecks and barriers hindering the development and implementation of enhanced recovery programs (ERP).
  • To propose actionable solutions and steps for successfully introducing ERPs into hospital settings.

Main Methods:

  • Analysis of multifactorial barriers to ERP implementation.
  • Identification of contributing factors from various stakeholders including surgeons, anesthetists, nurses, and patients.
  • Development of proposed solutions and implementation strategies.

Main Results:

  • Barriers to ERP implementation are diverse and involve multiple actors within the healthcare system.
  • Lack of trust and communication are identified as primary obstacles to large-scale ERP adoption.
  • Solutions are available and emphasize teamwork and interdisciplinary collaboration.

Conclusions:

  • Successful large-scale implementation of ERPs hinges on overcoming trust and communication deficits.
  • Teamwork and robust interdisciplinary collaboration are crucial for effective ERP integration.
  • Addressing stakeholder-specific barriers is essential for advancing ERP adoption in clinical practice.