Developing implementation strategies to adopt Enhanced Recovery After Surgery (ERAS®) guidelines

被引:18
作者
Lam, Jennifer Y. [1 ,2 ]
Howlett, Alexandra [3 ]
McLuckie, Duncan [4 ]
Stephen, Lori M. [3 ]
Else, Scott D. N. [4 ]
Jones, Ashley [5 ]
Beaudry, Paul [1 ]
Brindle, Mary E. [1 ]
机构
[1] Univ Calgary, Alberta Childrens Hosp, Pediat Surg Sect, Dept Surg, Calgary, AB, Canada
[2] London Hlth Sci Ctr, Western Univ, Childrens Hosp, Div Pediat Surg, London, ON, Canada
[3] Univ Calgary, Alberta Childrens Hosp, Sect Neonatol, Dept Pediat, Calgary, AB, Canada
[4] Univ Calgary, Alberta Childrens Hosp, Sect Pediat Anesthesia, Dept Anesthesia, Calgary, AB, Canada
[5] Alberta Childrens Prov Gen Hosp, Calgary, AB, Canada
来源
BJS OPEN | 2021年 / 5卷 / 02期
关键词
COLORECTAL SURGERY; CARE; CHILDREN; METAANALYSIS; EXPERIENCES; KNOWLEDGE; MODELS;
D O I
10.1093/bjsopen/zraa011
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Strong implementation strategies are critical to the success of Enhanced Recovery after Surgery (ERAS (R)) guidelines, though little documentation exists on effective strategies, especially in complex clinical situations and unfamiliar contexts. This study outlines the process taken to adopt a novel neonatal ERAS (R) guideline. Methods: The implementation strategy was approached in a multi-pronged, concurrent but asynchronous fashion. Between September 2019 and January 2020, healthcare providers from various disciplines and different specialties as well as parents participated in the strategy. Multidisciplinary teams were created to consider existing literature and local contexts including potential facilitators and/or barriers. Task forces worked collaboratively to develop new care pathways. An audit system was developed to record outcomes and elicit feedback for revision. Results: 32 healthcare providers representing 9 disciplines and 5 specialties as well as 8 parents participated. Care pathways and resources were created. Elements recommended for a successful implementation strategy included identification of champions, multidisciplinary stakeholder involvement, consideration of local contexts and insights, patient/family engagement, education, and creation of an audit system. Conclusion: A multidisciplinary and structured process following principles of implementation science was used to develop an effective implementation strategy for initiating ERAS (R) guidelines.
引用
收藏
页数:7
相关论文
共 33 条
  • [21] Implementation of Enhanced Recovery After Surgery (ERAS) Across a Provincial Healthcare System: The ERAS Alberta Colorectal Surgery Experience
    Nelson, Gregg
    Kiyang, Lawrence N.
    Crumley, Ellen T.
    Chuck, Anderson
    Thanh Nguyen
    Faris, Peter
    Wasylak, Tracy
    Basualdo-Hammond, Carlota
    McKay, Susan
    Ljungqvist, Olle
    Gramlich, Leah M.
    [J]. WORLD JOURNAL OF SURGERY, 2016, 40 (05) : 1092 - 1103
  • [22] Making sense of implementation theories, models and frameworks
    Nilsen, Per
    [J]. IMPLEMENTATION SCIENCE, 2015, 10
  • [23] MH Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature
    Goodman, Daisy
    Ogrinc, Greg
    Davies, Louise
    Baker, G. Ross
    Barnsteiner, Jane
    Foster, Tina C.
    Gali, Kari
    Hilden, Joanne
    Horwitz, Leora
    Kaplan, Heather C.
    Leis, Jerome
    Matulis, John C.
    Michie, Susan
    Miltner, Rebecca
    Neily, Julia
    Nelson, William A.
    Niedner, Matthew
    Oliver, Brant
    Rutman, Lori
    Thomson, Richard
    Thor, Johan
    [J]. BMJ QUALITY & SAFETY, 2016, 25 (12)
  • [24] Implementation of a pediatric enhanced recovery pathway decreases opioid utilization and shortens time to full feeding
    Phillips, Michael R.
    Adamson, William T.
    McLean, Sean E.
    Hance, Lyla
    Lupa, M. Concetta
    Pittenger, Sara L.
    Dave, Pooja
    McNaull, Peggy P.
    [J]. JOURNAL OF PEDIATRIC SURGERY, 2020, 55 (01) : 101 - 105
  • [25] Development of an enhanced recovery protocol for children undergoing gastrointestinal surgery
    Raval, Mehul V.
    Heiss, Kurt F.
    [J]. CURRENT OPINION IN PEDIATRICS, 2018, 30 (03) : 399 - 404
  • [26] Developing an implementation strategy for a digital health intervention: an example in routine healthcare
    Ross, Jamie
    Stevenson, Fiona
    Dack, Charlotte
    Pal, Kingshuk
    May, Carl
    Michie, Susan
    Barnard, Maria
    Murray, Elizabeth
    [J]. BMC HEALTH SERVICES RESEARCH, 2018, 18
  • [27] Embracing changed-the time for pediatric enhanced recovery after surgery is now
    Rove, K. O.
    Brockel, M. A.
    Brindle, M. E.
    Scott, M. J.
    Herndon, C. D. A.
    Ljungqvist, O.
    Koyle, M. A.
    [J]. JOURNAL OF PEDIATRIC UROLOGY, 2019, 15 (05) : 491 - 493
  • [28] Surgical site infections in infants admitted to the neonatal intensive care unit
    Segal, Ilan
    Kang, Christine
    Albersheim, Susan G.
    Skarsgard, Erik D.
    Lavoie, Pascal M.
    [J]. JOURNAL OF PEDIATRIC SURGERY, 2014, 49 (03) : 381 - 384
  • [29] Enhancing recovery in pediatric surgery: a review of the literature
    Shinnick, Julia K.
    Short, Heather L.
    Heiss, Kurt F.
    Santore, Matthew T.
    Blakely, Martin L.
    Raval, Mehul V.
    [J]. JOURNAL OF SURGICAL RESEARCH, 2016, 202 (01) : 165 - 176
  • [30] Implementation of an enhanced recovery protocol in pediatric colorectal surgery
    Short, Heather L.
    Heiss, Kurt F.
    Burch, Katelyn
    Travers, Curtis
    Edney, John
    Venable, Claudia
    Raval, Mehul V.
    [J]. JOURNAL OF PEDIATRIC SURGERY, 2018, 53 (04) : 688 - 692