Because ERAS is truly multi-disciplinary, there are tremendous possibilities for the future. ERAS was originally developed for surgical procedures, but really it is a foundation that can be replicated for other things. If you want to speed up the process for quality improvement in Canada, ERC is the solution to make a patient safety culture happen.
Dr. Claude Laflamme, Medical Director (Quality and Patient Safety)
Department of Anesthesia, Sunnybrook Health Sciences Centre.
Many national organizations include "improved patient care" as either an explicit or implicit part of their vision. This goal is embraced by surgical professional organizations and other health professional schools as well as by patient safety agencies and quality improvement organizations. Enhanced Recovery Canada is aligned with this vision, linking the goals and activities of healthcare team members to improve the patient's journey and health outcome. The complexity of surgical care demands the skill, commitment and collaboration of an inter-professional team throughout the perioperative period.
Royal College of Physicians and Surgeons
After major surgery, ERAS colorectal patients in Alberta were found to experience less major surgical, lung, and heart problems, with better outcomes and savings to the healthcare system. The six original ERAS sites in Edmonton and Calgary have shown elective colorectal ERAS patients were discharged up to an average of 2.3 days sooner than similar non-ERAS patients. Through the efforts of the ERAS site teams, adherence to the ERAS colorectal guidelines rose from 40% to 65% between 2013/14 and 2015/16. Between 2013 and 2015, ERAS colorectal implementation demonstrated conservative realized net savings of $3.6 million; a gain four times greater than the implementation investment.
Alberta Health Services
Eastern Health initiated their first Enhanced Recovery Pathway in Colorectal Surgery in 2016 at St. Clare's Mercy Hospital. Since that time we've implemented additional pathways at the same site for Lung Lobectomy, Joint Arthroplasty, and Head & Neck Surgery (Free Flap Reconstruction). In 2018, we added Enhanced Recovery Pathways for Vascular Surgery (Lower Limb Bypass), and Cardiac Surgery (Coronary Artery Bypass Graft). We have introduced many clinical practice changes along the entire surgical continuum and subsequently recognized improvements in patient outcomes. We have significant experience in change management and recognize the value in engaging front-line staff and clinical leaders to achieve success.