Table 2.
ERP element implementation frequency across 18 sites.
| Site | Preoperative Elements | Intraoperative Elements | Postoperative Elements | ||||||||||||||||||||||
| Patient Advocate Liaison |
Optimize Medical Comorbidities |
Avoid Prolonged Fasting |
Provider Education | Administer Non- Opioid Analgesia |
Patient and Family Education |
Preoperative Total | Standardized Anesthetic Protocol |
Hypothermia Prevention |
Thromboembolism Prophylaxis |
Pre-incision Antibiotic Prophylaxis |
Prevention of Nausea/Vomiting |
Avoiding Intra- abdominal Drains |
Minimally Invasive Techniques |
Intraoperative Total | Goal Directed/Near- Zero Fluid Therapy |
Audit Protocol Compliance |
Early oral Nutrition | Early Mobilization | Opioid-Sparing Pain Regimen |
Avoiding Foley Placement |
Avoiding Nasogastric Tubes |
Ileus Prophylaxis | Postoperative Total | Total Element Utilization | |
| 1 | - | - | - | - | - | - | 0 | - | - | - | - | - | ✓ | ✓ | 2 | - | - | - | - | - | - | - | - | 0 | 2 (10%) |
| 2 | - | - | - | - | - | - | 0 | - | - | ✓ | ✓ | - | - | ✓ | 3 | - | - | - | - | - | - | - | ✓ | 1 | 4 (19%) |
| 3 | - | - | - | - | - | - | 0 | - | - | - | - | ✓ | ✓ | ✓ | 3 | - | - | - | - | - | - | - | ✓ | 1 | 4 (19%) |
| 4 | - | - | - | - | - | - | 0 | - | - | - | - | ✓ | ✓ | ✓ | 3 | - | ✓ | - | - | - | - | - | - | 1 | 4 (19%) |
| 5 | - | - | - | - | - | - | 0 | - | - | - | ✓ | - | ✓ | ✓ | 3 | - | - | - | - | - | - | ✓ | - | 1 | 4 (19%) |
| 6 | - | - | - | - | - | - | 0 | - | - | - | - | ✓ | ✓ | ✓ | 3 | - | - | - | - | - | ✓ | - | ✓ | 2 | 5 (24%) |
| 7 | - | - | - | ✓ | - | - | 1 | - | - | - | ✓ | ✓ | ✓ | ✓ | 4 | - | - | - | - | - | - | - | - | 0 | 5 (24%) |
| 8 | - | - | - | - | - | - | 0 | - | - | ✓ | ✓ | - | ✓ | ✓ | 4 | - | - | - | - | - | ✓ | ✓ | - | 2 | 6 (29%) |
| 9 | - | - | - | - | - | ✓ | 1 | - | - | ✓ | ✓ | - | ✓ | ✓ | 4 | - | - | - | - | - | - | - | ✓ | 1 | 6 (29%) |
| 10 | - | - | - | - | - | ✓ | 1 | - | - | ✓ | ✓ | ✓ | - | ✓ | 4 | - | - | - | - | - | - | - | ✓ | 1 | 6 (29%) |
| 11 | - | - | - | - | ✓ | - | 1 | - | - | - | - | ✓ | ✓ | ✓ | 3 | - | - | - | - | - | - | ✓ | ✓ | 2 | 6 (29%) |
| 12 | - | - | - | - | - | ✓ | 1 | - | - | - | ✓ | ✓ | ✓ | ✓ | 4 | - | - | - | - | - | - | ✓ | ✓ | 2 | 7 (33%) |
| 13 | - | - | - | - | - | - | 0 | - | ✓ | ✓ | - | ✓ | ✓ | ✓ | 5 | - | - | - | - | - | - | ✓ | ✓ | 2 | 7 (33%) |
| 14 | - | - | - | - | - | ✓ | 1 | - | - | - | - | ✓ | ✓ | ✓ | 3 | - | - | ✓ | ✓ | - | ✓ | ✓ | ✓ | 5 | 9 (43%) |
| 15 | - | - | - | - | - | ✓ | 1 | - | - | ✓ | - | ✓ | ✓ | ✓ | 4 | - | - | - | - | ✓ | ✓ | ✓ | ✓ | 4 | 9 (43%) |
| 16 | - | - | - | - | - | ✓ | 1 | - | - | ✓ | - | - | ✓ | ✓ | 3 | - | - | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 6 | 10 (48%) |
| 17 | - | - | - | - | - | ✓ | 1 | - | - | ✓ | ✓ | - | ✓ | ✓ | 4 | - | - | - | ✓ | ✓ | ✓ | ✓ | ✓ | 5 | 10 (48%) |
| 18 | - | - | - | - | - | ✓ | 2 | - | - | - | ✓ | - | ✓ | ✓ | 3 | - | - | - | ✓ | ✓ | ✓ | ✓ | ✓ | 5 | 10 (48%) |
| Total Site Utilization | 0 (0%) | 0 (0%) | 0 (0%) | 1 (6%) | 2 (11%) | 8 (44%) | 0 (0%) | 1 (6%) | 8 (44%) | 9 (50%) | 10 (56%) | 16 (89%) | 18 (100%) | 0 (0%) | 1 (6%) | 2 (11%) | 4 (22%) | 4 (22%) | 7 (39%) | 10 (56%) | 13 (72%) | ||||