Implementation of the ERAS protocol in gynecology and oncogynecology – evaluation of a pilot study

Authors

  • Tomáš Brtnický Gynekologicko-porodnická klinika FN Bulovka a 1. LF UK
  • Markéta Malecová Gynekologicko-porodnická klinika 1. LF UK a FN Bulovka, Praha
  • Peter Koliba Gynekologicko-porodnická klinika 1. LF UK a FN Bulovka, Praha
  • Petr Hubka Gynekologicko-porodnická klinika 1. LF UK a FN Bulovka, Praha
  • Petra Sládková Oddělení fyziatrie a léčebné rehabilitace FN Bulovka, Praha
  • Daniel Hodyc Advance Hospital Analytics, Praha
  • Magdalena Škodová Advance Hospital Analytics, Praha
  • Michal Zikán Gynekologicko-porodnická klinika 1. LF UK a FN Bulovka, Praha

Keywords:

Enhanced Recovery After Surgery, implementation, adherence

Abstract

Summary

Objective: To describe the implementation process and evaluate the success of compliance with the recommended ERAS protocol in the Czech healthcare system.

Methods: The study included 163 patients from March to September 2022, a total of 7 months. Patients were divided into three groups according to the type of surgery. Clinical protocol: oncogynecology, hysterectomy and laparoscopy. The implementation was realized in three phases (preparation, implementation of the protocol itself and evaluation).

Results and conclusions: The cumulative adherence rate was 90% or more in all three groups. Based on the pilot results at our department, we evaluated the ERAS concept as a well-implemented tool for gynaecological departments in the Czech healthcare system.

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Published

2023-10-30

Issue

Vol. 88 No. 5 (2023): Česká gynekologie

Section

Gynecology and Obstetrics

Categories