Electronic health record-supported implementation of an evidence-based pathway for perioperative surgical care.

ABSTRACT:

Objectives

Enhanced recovery pathways (ERPs) are evidence-based approaches to improving perioperative surgical care. However, the role of electronic health records (EHRs) in their implementation is unclear. We examine how EHRs facilitate or hinder ERP implementation.

Materials and methods

We conducted interviews with informaticians and clinicians from US hospitals participating in an ERP implementation collaborative. We used inductive thematic analysis to analyze transcripts and categorized hospitals into 3 groups based on process measure adherence. High performers exhibited a minimum 80% adherence to 6 of 9 metrics, high improvers demonstrated significantly better adherence over 12 months, and strivers included all others. We mapped interrelationships between themes using c

SUBMITTER: Wu J 

PROVIDER: S-EPMC10873834 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature