Key result
The national implementation of enhanced recovery pathways in the English NHS for elective surgeries successfully reduced length of stay and saved 170,000 bed days without increasing readmission rates.
The editorial highlights the successful national implementation of enhanced recovery pathways in the English NHS, demonstrating reduced length of stay and improved patient satisfaction without increasing readmissions.
Programme on March 10, 2010. 1 The forward, in referring to the UK National Health Service (NHS), says:''Enhanced recovery is transforming NHS elective and cancer care pathways by using a number of evidence-based interventions as a model of care enabling patients to recover sooner following surgery.This guide, developed using learning from centres across the UK, provides a starting point to support implementation of enhanced recovery.''By November 2013, a progress review entitled Enhanced Recovery Care Pathway reported successful national implementation in four main types of elective surgery, colorectal, gynecological, orthopedic, and urology. 2 Thousands more surgeries were being performed in 170,000 fewer bed days.Target lengths of stay had been achieved, readmission rates had not increased, and both quality and patient satisfaction had improved. 2,3A win-win-win-win.That document includes a copy of a consensus statement signed by 17 of the UK's health care leaders, including the NHS Medical Director and Presidents of the Royal Colleges of Anaesthetists, Physicians, and Surgeons, that concludes: ''We believe that enhanced recovery should now be considered as standard practice for most patients undergoing major surgery across a range of procedures and specialties.''
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Michael G. Mythen (2014) conducted an editorial in Elective surgery. Enhanced recovery pathway vs. Standard care was evaluated. The national implementation of enhanced recovery pathways in the English NHS for elective surgeries successfully reduced length of stay and saved 170,000 bed days without increasing readmission rates.
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