Implementing Enhanced Recovery After Surgery for hysterectomy in a hospital network with audit and feedback: A stepped-wedge cluster randomised trial.

Elisa PiovanoAndrea PuppoMarco CamanniAnna CastiglioneElena Maria DelpianoLisa GiacomettiMonica RolfoAlessio RizzoPaolo ZolaGiovannino CicconeEva Paganonull null

Published in: BJOG : an international journal of obstetrics and gynaecology (2024)

Implementation of the ERAS protocol for hysterectomy at the regional level, supported by an A&F approach, resulted in a substantial improvement in compliance, but without meaningful effects on LOS and complications. This study confirms the effectiveness of A&F in promoting important innovations in an entire hospital network and suggests the need of a higher compliance with the ERAS protocol to obtain valuable improvements in clinical outcomes.

Keyphrases

randomized controlled trial
healthcare
study protocol
acute care
primary care
systematic review
adverse drug
open label
emergency department
network analysis