Table 4.

A mechanism for the evaluation and dissemination of outcomes at the individual care level

	We inform patients	Patients inform us	Patients ‘co-lead’ and ‘co-design’ with us	Patients lead
Evaluation (Examples)	- Trivia game online to assess patient understanding of basic ERAS guidelines and principles.	- A patient satisfaction survey to evaluate education activities. - An open-ended section in journal/logbook for patients to write about their experience, which can be collected and analysed using qualitative methods.	- Patients use logbooks, apps or other mechanisms that work for them to track their own recovery. - Patients rate the usefulness of these tools.	- Peer supporters obtain input from patients on their experience and outcomes.
Dissemination (Examples)	- Game results can be tabulated and presented at staff meetings to inform local practice of patient knowledge gaps.	- ‘what’s new’ section on the ERAS website to provide feedback to patients and public regarding how patient involvement shapes current practice.	- Recovery tools are modified based on patient feedback and new tools are launched on the ERAS website with a ‘how-to’ video led by patients.	- Peer supporters disseminate their findings at local staff meetings to inform current practice.

The cells of the matrix have been populated with some examples of how evaluation and dissemination of outcomes can be implemented at the individual care level. These are not meant to be recommended activities, but are simply illustrative examples of what this could look like.

ERAS, Enhanced Recovery After Surgery.