Evidence map›Paper›PMID 33688958›Full record

ArticleBJS open2021

Developing implementation strategies to adopt Enhanced Recovery After Surgery (ERAS®) guidelines.

Jennifer Y Lam, Alexandra Howlett, Duncan McLuckie, Lori M Stephen, Scott D N Else, Ashley Jones, Paul Beaudry, Mary E Brindle

Open access · goldAbstract read
In one paragraph

Article in BJS open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jennifer Y LamDepartment of Surgery, Section of Pediatric Surgery, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Alexandra HowlettDepartment of Pediatrics, Section of Neonatology, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Duncan McLuckieDepartment of Anesthesia, Section of Pediatric Anesthesia, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Lori M StephenDepartment of Pediatrics, Section of Neonatology, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Scott D N ElseDepartment of Anesthesia, Section of Pediatric Anesthesia, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Ashley JonesPatient and Family Advisor, Alberta Children's Hospital, Calgary, Alberta, Canada.
Paul BeaudryDepartment of Surgery, Section of Pediatric Surgery, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Mary E BrindleDepartment of Surgery, Section of Pediatric Surgery, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
University of Calgary · CAAlberta Children's Hospital · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStrong implementation strategies are critical to the success of Enhanced Recovery after Surgery (ERAS®) guidelines, though little documentation exists on effective strategies, especially in complex clinical situations and unfamiliar contexts. This study outlines the process taken to adopt a novel neonatal ERAS® guideline.

methodsThe implementation strategy was approached in a multi-pronged, concurrent but asynchronous fashion. Between September 2019 and January 2020, healthcare providers from various disciplines and different specialties as well as parents participated in the strategy. Multidisciplinary teams were created to consider existing literature and local contexts including potential facilitators and/or barriers. Task forces worked collaboratively to develop new care pathways. An audit system was developed to record outcomes and elicit feedback for revision.

results32 healthcare providers representing 9 disciplines and 5 specialties as well as 8 parents participated. Care pathways and resources were created. Elements recommended for a successful implementation strategy included identification of champions, multidisciplinary stakeholder involvement, consideration of local contexts and insights, patient/family engagement, education, and creation of an audit system.

conclusionA multidisciplinary and structured process following principles of implementation science was used to develop an effective implementation strategy for initiating ERAS® guidelines.

Indexed as

Enhanced Recovery After SurgeryPractice Guidelines as TopicAdvisory CommitteesChecklistCritical PathwaysFocus GroupsHumansInfant, NewbornIntestinesParentsPatient Care TeamStakeholder Participation

Identifiers

PMID33688958
PMCPMC7944851
OpenAlexW3135283253

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.