The Jewish General Hospital (JGH) in Montreal Province of Quebec, started ERAS in 2015 with the goal of improving the quality of care of the surgical patients by giving them the best evidenced base practice. The first ERAS pathway launched at the JGH was the colorectal pathway. At the end of 2015, the liver resection and the pancreaticoduodenectomy (Whipple) ERAS pathways where launched. In August 2017, the ERAS cystectomy pathways has been started and will be launched at the end of January 2018. The pathway for knee and hip arthroplasty is in process at the moment. The plan in collaboration with the multidisciplinary team will be to implement prehabilitation for the ERAS population.
At the JGH we use the Encare© database system to measure the compliance to the ERAS items. These compliance results helps us understand where we need to adapt our practice.
To implement ERAS and have a good compliance to the protocols, every professionals and patients needs to be on board. The patient is the center of care and to help them to be active in their recovery, they need to be informed to participate. Thus, the patient education material is an important part of the preoperative counseling and the starting point for recovery.
My background as an engineer help me with the project management by giving me tools to manage a timeline with many deliverables. Also, an experience with research and data analysis is a value to an ERAS coordinator. The audit are an important part of the ERAS principles and the data need to be analysed properly.
The patient education booklets are available on the MUHC Patient education material website.
Maude Giordanengo, RN, B.Sc.N i, M.Sc.A
Jewish General Hospital, Montreal
Dr. Gabriela Ghitulescu
ERAS surgical lead for colorectal