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Enhanced Recovery After Surgery: The new standard for perioperative care

Enhanced Recovery After Surgery (ERAS®) is a comprehensive, multifaceted, and multidisciplinary approach to the care of the surgical patient. ERAS bundles evidence-based elements to facilitate a faster...

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Identifying postop complications using EHR data and machine learning

Editor’s Note Using machine learning on electronic health record (EHR) postoperative data linked to the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) outcomes...

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Editorial

ERAS, known to speed recovery and increase patient satisfaction, has been adopted for many types of procedures. Yet Henrik Kehlet, MD, PhD, who came up with the concept of “fast-track surgery” from...

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Mayo Clinic Care Network reduces hospital stays with ERPs

Editor’s Note An Enhanced Recovery Pathway (ERP) created by the Mayo Clinic’s colorectal surgery service a decade ago has now been adopted by other surgical services in seven medical centers that are...

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Develop standard work for successful ERAS implementation

At Virginia Commonwealth University (VCU) Health System in Richmond, implementation of Enhanced Recovery After Surgery (ERAS) incorporates principles of Lean thinking, a management methodology that...

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Overcoming common obstacles to implementing a perioperative surgical home

Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach...

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Hospital-wide ERAS adoption hinges on leadership support

Enhanced Recovery After Surgery (ERAS) is arguably the greatest advancement in surgery in the last 20 years. But even healthcare leaders who support the use of ERAS to achieve better outcomes can find...

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Culture, communication, and clinical skills essential for ERAS success

Strategies that can achieve the aims of excellence in clinical care, fewer complications, and reduced costs are sorely needed, and the comprehensive implementation of an Enhanced Recovery After Surgery...

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What does it take to become an ERAS hospital?

Leaders at Virginia Commonwealth University (VCU) Health System in Richmond started the journey to become an Enhanced Recovery After Surgery (ERAS) hospital in 2016 with the following problem...

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Joint Commission approves four new EPs for office-based surgery

Editor’s Note The Joint Commission, on January 13, announced that it had approved four new elements of performance (EPs) for office-based surgery practices that prescribe medication. The EPs for...

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