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Enhanced Recovery After Surgery: Implementation Strategies, Barriers and Facilitators
Emily A Pearsall1, Robin S McLeod2
1Best Practice in Surgery, Department of Surgery, University of Toronto, 149 College Street, 5th Floor, Toronto Ontario M5T 1P5, Canada.
Abstract:
Numerous reports have documented the effectiveness of Enhanced Recovery after Surgery (ERAS) pathways in improving recovery and decreasing morbidity and length of stay. However, there is also increasing evidence that ERAS® guidelines are difficult to adopt and require the commitment of all members of the perioperative team. Multiple barriers related to limited hospital resources (financial, staffing, space restrictions, and education), active or passive resistance from members of the perioperative team, and lack of data and/or education have been identified. Thus, ERAS® guidelines require a tailored implementation strategy to increase adherence.
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