Table A1.
Adherence by Individual Process Measure Across Stages of Implementation
| Early Implementation |
Full Implementation |
|
|---|---|---|
| PRIOR TO DAY OF SURGERY | ||
| Enrolled in ERAS? | 30% | 67% |
| Provided ERAS manual? | 0% | 56% |
| Provided Gatorade instructions? | 0% | 56% |
| Provided mechanical bowel prep instructions? | 20% | 56% |
| Provided antibiotic bowel prep instructions? | 20% | 67% |
| Provided chlorhexidine washing instructions? | 0% | 50% |
| Ingested Gatorade prior to arrival? | 0% | 28% |
| Performed mechanical bowel prep over last 24 hours? | 30% | 67% |
| Performed antibiotic bowel prep over last 24 hours? | 30% | 67% |
| Completed three days of gabapentin preoperatively? | 0% | 28% |
| DAY OF SURGERY | ||
| Used CHG washcloths as instructed preoperatively? | 0% | 39% |
| ERAS pre-op orders written by Surgery? | 0% | 6% |
| APS Consult ordered? | 100% | 94% |
| Anesthesia ordered pre-op gabapentin? | 0% | 61% |
| Anesthesia ordered pre-op acetaminophen? | 0% | 67% |
| Anesthesia ordered pre-op bisacodyl? | 0% | 44% |
| Preoperative warming? | 0% | 0% |
| Medications ordered in preop given prior to OR? | 0% | 61% |
| Appropriate abx given less than 60 minutes prior to incision? | 100% | 100% |
| Anesthesia placed epidural? | 50% | 50% |
| Anesthesia placed TAP or other regional block? | 20% | 28% |
| Ketorolac given? | 20% | 39% |
| Antiemetics given? | 100% | 89% |
| Post-op temperature maintained > 36 degrees C? | 100% | 94% |
| Checklist placed in ERAS folder? | 0% | 11% |
| INPATIENT STAY FOLLOWING SURGERY | ||
| APS consulted at end of surgery? | 100% | 100% |
| Temperature confirmed greater than 36 C in PACU? | 100% | 94% |
| Ketamine infusion on POD1? | 50% | 44% |
| Basal PCA running on POD1? | 100% | 50% |
| Gabapentin ordered on POD1? | 10% | 6% |
| Ketorolac ordered on POD1? | 50% | 50% |
| Acetaminophen ordered on POD1 | 60% | 53% |
| GPS ordered ERAS post-op orderset? | 0% | 0% |
| Ambulating POD2? | 90% | 83% |
| Diet by POD1 | 60% | 72% |
| Foley out by POD2 | 100% | |
| Use of at least two non-narcotic pain adjuncts on POD2? | 60% | 78% |
| Chewing gum provided? | 0% | 0% |
Appendix abbreviations:
APS - Acute Pain Service
CHG - chlorhexidine gluconate
PACU - post-anesthesia care unit
PCA - patient controlled analgesia
POD - postoperative day
TAP - transverse abdominis plane