Safety, quality & education

Hospital Configurations Leading to Successful Implementation of Enhanced Recovery Programs

Ann SurgPublished Configurational analysis (coincidence analysis) of hospitals in a national surgical collaborative

Authors' conclusion

Successful ERP implementation varied by local context and relied on organizational readiness to change, strong staff buy-in, appropriate workload, and sufficient time.

Study context

Population
Hospitals implementing enhanced recovery programs (ERPs) in a national surgical collaborative
Participants
86 hospitals
Outcome
ERP implementation success (among the 25% of hospitals with the greatest improvement in ERP adherence rate over time)
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Successful ERP implementation (high improvement: top 25% of hospitals in ERP adherence rate improvement)

Hospitals that successfully implemented ERP

26

30.2%

Three scenarios collectively explained success for >70% of the hospitals

PA consistency=0.719, prevalence-adjusted contrapositive coverage=0.752

Original publication

Hospital Configurations Leading to Successful Implementation of Enhanced Recovery Programs. Ann Surg. Published 16 April 2025. doi:10.1097/sla.0000000000006731

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