Perioperative medicine & outcomes
Implementing Enhanced Recovery Pathways: A Qualitative Study of Factors That Distinguished Higher Performing Hospitals
Authors' conclusion
We draw upon diverse perspectives from across the perioperative continuum of care to qualitatively describe implementation factors most strongly associated with successful implementation of enhanced recovery pathways.
Study context
- Population
- Perioperative leaders, clinicians and staff from 8 US hospitals in the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery
- Participants
- 168 participants · 8 US hospitals
- Comparison
- Hospitals with greater vs lower implementation success
- Outcome
- Barriers and facilitators to implementing enhanced recovery pathways
Methodological detailsin-depth interviews, thematic analysis, Consolidated Framework for Implementation Research, multicentre
- In-depth interviews
- Thematic analysis
- Consolidated Framework for Implementation Research
- Multicentre
Main finding
As reported in the abstract
- Consistently positive: information-sharing practices and the implementation processes of planning and engaging
- Consistently negative: complexity of the pathway, hospitals' infrastructure, and the process of "executing" (particularly altering electronic health record systems)
- Hospitals with greatest improvement in process measure adherence distinguished by clinicians' positive knowledge and beliefs about pathways and strong leadership support from clinicians and executives
Original publication
Implementing Enhanced Recovery Pathways: A Qualitative Study of Factors That Distinguished Higher Performing Hospitals. Ann Surg. Published 5 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →