{"id":1204,"date":"2025-01-14T14:52:13","date_gmt":"2025-01-14T22:52:13","guid":{"rendered":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/?p=1204"},"modified":"2025-02-20T14:33:12","modified_gmt":"2025-02-20T22:33:12","slug":"eras-story","status":"publish","type":"post","link":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/empirical-quality-outcomes\/eras-story\/","title":{"rendered":"10 years of Enhanced Recovery After Surgery"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column][vc_column_text] <span data-contrast=\"none\">In 2014, the Enhanced Recovery After Surgery (ERAS) program launched in Northern California, and traditional surgical care as we knew it was changed forever.\u00a0 The principles of ERAS include multimodal analgesia, early mobilization, maintenance of adequate nutrition, and active patient participation in their care.\u00a0<\/span><!--more--><\/p>\n<p><span data-contrast=\"none\">In 2014, the Enhanced Recovery After Surgery (ERAS) program launched in Northern California, and traditional surgical care as we knew it was changed forever.\u00a0 The principles of ERAS include multimodal analgesia, early mobilization, maintenance of adequate nutrition, and active patient participation in their care.\u00a0 ERAS was successfully implemented as an evidence-based, multi-disciplinary care pathway that brought together staff and departments across care settings, from the clinics to our OR\u2019s, to our med-surg units. Our ERAS journey is a testament to the teamwork and innovative spirit of Kaiser Permanente Northern California (KPNC).<\/span><span data-contrast=\"none\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The ERAS Steering Committee developed and implemented the original 2 ERAS pathways in 2014, which introduced standardized ERAS care components to our colorectal and hip fracture programs. ERAS leveraged strong multi-disciplinary clinical and operational leadership as part of the program\u2019s spread. Each medical center was assigned an ERAS RN mentor to foster communication between regional and facility teams, facilitate rapid cycle change, and enable \u201cbarrier busting\u201d achievement. ERAS pathways were subsequently developed for 5 additional surgical procedures. The Northern California ERAS received the Kaiser Permanente David M. Lawrence Patient Safety in 2016.<\/span><span data-contrast=\"none\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">In 2017, the KPNC ERAS team introduced the ERAS Common Pathway, a streamlined ERAS pathway that could be applied \u201cuniversally\u201d to patients in 17 different surgical specialties. As noted by Dr. Derrick Lee, KPNC ERAS Physician Clinical Lead, \u201cThe ERAS Common Pathway represents an extraordinary collaboration among nurses, surgeons, anesthesiologists, and clinical staff, that puts the patient at the center and enables us to provide ERAS care at the highest levels of reliability and coordination.\u201d (<\/span><i><span data-contrast=\"auto\">Diagram 1<\/span><\/i><span data-contrast=\"auto\">)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Instead of traditional surgical care, where 1 in 4 patients had complications after inpatient surgery, the KPNC ERAS common pathway has realized significant improvements in outcome and patient experience.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Today, roughly 150,000 patients a year receive ERAS care in one of our 21 medical centers, and the program celebrated its 10-year anniversary in 2024. Continued maintenance and basic support of the ERAS program will be necessary to sustain the benefits of faster recovery with fewer complications for our patients.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\n<p>.[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>In 2014, the Enhanced Recovery After Surgery (ERAS) program launched in Northern California, and traditional surgical care as we knew it was changed forever.\u00a0 The principles of ERAS include multimodal analgesia, early mobilization, maintenance of adequate nutrition, and active patient participation in their care.\u00a0<\/p>\n","protected":false},"author":1,"featured_media":2046,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_custom_body_class":"","_custom_post_class":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[],"ncal_area":[45],"site_only":[],"report_year":[58],"class_list":["post-1204","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-empirical-quality-outcomes","ncal_area-northern-california","report_year-58","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>10 years of Enhanced Recovery After Surgery - Kaiser Permanente Northern California 2024 Annual Nursing Report<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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