title: How to introduce a program of Enhanced Recovery after Surgery? The experience of the CAPIO group.
abstract: The traditional model of hospital care has been challenged by the development of a care-management process that allows early patient autonomy (outpatient surgery, Enhanced Recovery after Surgery). Hospitalization has been transformed in response to this development, based on innovative medical and organizational strategies. Within a surgical service, the deployment of these processes requires the creation of a support structure, with re-organization of existing structures, analysis of potential obstacles, implementation of management tools, and ongoing follow-up of organizational function, clinical results, organizational and patient satisfaction. These will ultimately assess adaptation of structures within these new organizations. In this article, we share our insights based on experience gained over the past six years by surgical teams of the CAPIO group.
authors.affiliation: CAPIO, département médical chirurgie, 113, boulevard Stalingrad, 69628 Villeurbanne cedex, France. Electronic address: jfverrier@capio.fr.
authors.forename: J-F
authors.initials: JF
authors.lastname: Verrier
authors.affiliation: CAPIO, département médical chirurgie, 113, boulevard Stalingrad, 69628 Villeurbanne cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Paget
authors.affiliation: CAPIO, département médical chirurgie, 113, boulevard Stalingrad, 69628 Villeurbanne cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Perlier
authors.affiliation: CAPIO, département médical chirurgie, 113, boulevard Stalingrad, 69628 Villeurbanne cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Demesmay
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000592:standards*; D003695:Delivery of Health Care / Q000458:organization & administration; D005060:Europe; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D019990:Perioperative Care / Q000592:standards*; D016730:Program Development; D015397:Program Evaluation; D020127:Recovery of Function; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000379:methods*; D013997:Time Factors
keywords: Enhanced Recovery Program (ERP); Enhanced Recovery after Surgery (ERAS); Multidisciplinary team; Peri-operative care; Pre-operative education; Rapid Recovery after Surgery (RRAS); Rapid recovery program; Telemedicine; Transforming healthcare