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The Quality Improvement Challenge—How Nurses and Allied Health Professionals Can Solve the Knowing–Doing Gap in Enhanced Recovery after Surgery (ERAS).

Wainwright, T., 2020. The Quality Improvement Challenge—How Nurses and Allied Health Professionals Can Solve the Knowing–Doing Gap in Enhanced Recovery after Surgery (ERAS). Medicina, 56 (12), 652.

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Official URL: https://www.mdpi.com/1010-660X/56/12/652/htm

DOI: 10.3390/medicina56120652

Abstract

The English National Health Service (NHS), and all health services around the world, will continue to face economic and capacity challenges. Quality improvement (QI) interventions, such as Enhanced Recovery after Surgery (ERAS), that are proven to improve patient care and deliver operational benefits are therefore needed. However, widespread implementation remains a challenge. Implementation of ERAS within the NHS over the last 10 years is reviewed, with a focus on total hip arthroplasty (THA) and total knee arthroplasty (TKA). Difficulties with implementation are highlighted, and a recommendation for the future is presented. This perspective is novel in the ERAS literature, and centres around increasing the understanding of perioperative care teams on the need for utilising a recognised QI method (e.g., plan–do–study–act cycles, Lean, and Six Sigma) to implement ERAS protocols (which are a QI intervention) successfully. The importance of differentiating between a QI method and a QI intervention has value across all other ERAS surgical procedures.

Item Type:Article
ISSN:1010-660X
Uncontrolled Keywords:enhanced recovery after surgery; quality improvement; surgery; orthopaedics
Group:Faculty of Health & Social Sciences
ID Code:34939
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:04 Dec 2020 12:31
Last Modified:04 Dec 2020 12:31

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