Implementing and measuring change to enhance perioperative outcomes

Excerpt

The February 2015 issue of the Journal featured reviews and editorials from a group of international experts in Enhanced Recovery After Surgery (ERAS). Enhanced Recovery After Surgery programs seem an obvious focus for anesthesiologists dedicated to optimizing the outcomes of their patients. In a related manner, healthcare administrators have similarly been attracted to ERAS because of the potential cost savings afforded by the improvements in patient care. These programs have evolved considerably over the last two decades and are gaining traction throughout the world.1 Despite the large body of literature highlighting the conceptual and technical features of ERAS programs as well as the evidence for benefit, adoption of such programs has been relatively slow in Canada. We have considerable knowledge about the various components of ERAS programs, but translating this knowledge into practice remains a challenge. Put more bluntly, we know this approach works, so why are we not applying it? …