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. 2020 Aug 10;34(12):3218–3224. doi: 10.1053/j.jvca.2020.08.007

Fig 2.

Fig 2

The standard iterative process of an enhanced recovery program. After an initial team and protocol are built, the program cycles through the listed steps. Continually refining, adapting, and evolving, the end goal is always optimal patient outcomes and efficient healthcare delivery. Program implementation during COVID-19 will follow the same steps, but with modifications related to the direct and indirect impact of the pandemic on patients and the healthcare system.