The Enhanced Recovery After Surgery (ERAS) project, an evidence based, peri-operative management process is both championed and neatly summarized in this JAMA Surgery review by my VCU colleague, Dr. Michael Scott.
In brief, under ERAS, implementation of a standardized peri-operative process which targets smoking cessation,peri-operative antibiotics, glucose and temperature control, removal of urinary catheters and restrictive use of surgical site drains (to name a few items), coupled with performance audits, significantly decreases length of stay, complications and cost. The trifecta of patient safety.
Excuses for not standardizing patient safety are no longer tenable.
I will be at the SHEA Spring Meeting for the rest of the week.
Looking forward to it, stay tuned.