Table 3.
Current and Potential Barriers (n=16)
| Current Barriers for those with standardized pathways (n=16) | |
|---|---|
| Lack of administrative/leadership support | 9 (56%) |
| Lack of anesthesia support | 5 (31%) |
| Difficulty achieving consensus among my pediatric urology colleagues to implement a standardized enhanced recovery pathway | 10 (62%) |
| Difficulty achieving consensus among my pediatric urology colleagues to implement any standardized pathways | 6 (38%) |
| Resistance from patients or families | 0 |
| Difficulty initiating the enhanced recovery pathway | 6 (38%) |
| Difficulty maintaining compliance with the enhanced recovery pathway | 6 (38%) |
| Patients will not benefit | 0 |
| There is not enough familiarity with the pathway | 6 (38%) |
| Other ______________ | 2 (12%) |
| *Unable to achieve buy in from other surgical colleagues | |
| *Patients cared for by hospitalists | |
| Potential Barriers for those without standardized pathways (n=56) | |
| Lack of administrative/leadership support | 10 (18%) |
| Lack of anesthesia support | 11 (20%) |
| Difficulty achieving consensus among my pediatric urology colleagues to implement a standardized enhanced recovery pathway | 17 (30%) |
| Difficulty achieving consensus among my pediatric urology colleagues to implement any standardized pathways | 5 (9%) |
| Resistance from patients or families | 3 (5%) |
| Difficulty initiating the enhanced recovery pathway | 9 (16%) |
| Difficulty maintaining compliance with the enhanced recovery pathway | 18 (32%) |
| Patients will not benefit | 1 (2%) |
| There is not enough familiarity with the pathway | 27 (48%) |
| Other ______________ | 3 (5%) |
| *None | |
| *Just implement key elements and not a pathway | |
| *Don’t do enough cases to justify a pathway | |