Implementation of Enhanced Recovery Pathways in the real world: Change is Hard.

摘要: Enhanced recovery pathways (ERPs) are standardized multimodal care plans that integrate evidence-based interventions across the preoperative, intraoperative and postoperative phases of surgical care. The use of an ERP improves outcomes across many different surgical procedures and specialties. 1, 2 Despite ample evidence supporting their effectiveness, implementation remains problematic. In this issue of the Annals of Surgery, Regenbogen and colleagues report the results of implementation of ERP for elective …