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Research Letter
Pacific Coast Surgical Association
July 21, 2021

Association of Enhanced Recovery Pathway Compliance With Patient Outcomes

Author Affiliations
  • 1Department of Surgery, Loyola University Medical Center, Maywood, Illinois
  • 2Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois
  • 3Department of Surgery, University of California, Los Angeles, Los Angeles
  • 4Department of Surgery, University of California, San Francisco
  • 5Johns Hopkins Medicine, Armstrong Institute for Quality and Safety, Baltimore, Maryland
JAMA Surg. Published online July 21, 2021. doi:10.1001/jamasurg.2021.2866

Enhanced recovery pathways (ERPs) have emerged as one of the most effective strategies to improve clinical outcomes and reduce health care utilization in elective colorectal surgery. However, ERP implementation alone does not result in improvement without high pathway component compliance.1,2 Hospital collaboratives have been used to accelerate quality improvement across clinical areas, including ERP adoption.3-5 Despite collaborative participation, hospitals are frequently hindered by barriers related to local culture, agreement over ERP components, and resources.

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