Hassan Hashmi, Colorectal and General Surgeon at Las Vegas Surgical Associates, shared on X:
“Why do some hospitals improve colorectal ERAS adherence while others stall?
A study recently published in Annals of Surgery examined 86 hospitals and found that there is no single formula for implementation. Three context-specific patterns together accounted for more than 70% of hospitals with high improvement in ERAS adherence:
- Hospitals serving lower-SES populations, estimated by Medicaid discharge volume, improved when they were ready to change, despite challenges with team skills and cohesion.
- Lower-volume hospitals improved when readiness to change was paired with staff buy-in, meaning broad team support for using the ERAS pathway.
- Higher-volume hospitals improved when teams had enough time for implementation activities, such as training, coordination, and tracking adherence, along with a manageable workload, even when leadership support was limited.
The takeaway: Assess local conditions and focus on factors that can be changed. The study measured improvement in ERAS adherence, not patient outcomes.”
Title: Hospital Configurations Leading to Successful Implementation of Enhanced Recovery Programs
Authors: Reiping Huang, Sarah L. Remer, Leandra K. Knapp, Mark E. Cohen, Michael A. Rosen, Bruce L. Hall, Elizabeth C. Wick, Clifford Y. Ko
Read the full article.
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