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World Journal of Surgery

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01-06-2014

A Qualitative Study Assessing the Barriers to Implementation of Enhanced Recovery After Surgery

Authors: Alison Lyon, Michael J. Solomon, James D. Harrison

Published in: World Journal of Surgery | Issue 6/2014

Abstract

Background

Previous studies have quantitatively assessed Enhanced Recovery After Surgery (ERAS) guideline implementation and compliance, and identified the existence of compliance issues with the programs. This is the first study to qualitatively assess the reasons behind compliance issues in ERAS programs. The aim of this study was to elicit barriers to implementation and functioning of the ERAS program at Royal Prince Alfred Hospital.

Methods

A series of interviews were carried out with key stakeholders in order to explore barriers preventing effective functioning of the program 1 year after implementation. Interview transcripts were analysed. Data analysis involved a grounded theory methodology.

Results

Analysis of the data identified four key themed areas of practice that presented barriers: patient-related factors, staff-related factors, practice-related issues, and resources. These overarching themes were generated from subcategories that were linked to generate theory.

Conclusions

For the ERAS program to be implemented successfully with high levels of element compliance, the four key areas need to be addressed. As barriers to ongoing effective care become apparent, these should be managed in order to optimize the synergistic effects of this multimodal program of patient care.

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Title: A Qualitative Study Assessing the Barriers to Implementation of Enhanced Recovery After Surgery
Authors: Alison Lyon
Michael J. Solomon
James D. Harrison
Publication date: 01-06-2014
Publisher: Springer US
Published in: World Journal of Surgery / Issue 6/2014
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-013-2441-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A Qualitative Study Assessing the Barriers to Implementation of Enhanced Recovery After Surgery

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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