Recovery After Surgery
PEER RESPONSE; BORN
“For adult patients on a medical-surgical unit, does implementation of the Enhanced Recovery After Surgery (ERAS) protocol, as compared to current practice, impact surgical site infection (SSI) rates in 8-10 weeks?”
The evidence-based intervention I chose for this DNP project was the implementation of the Enhanced Recovery After Surgery (ERAS) protocol to help decrease the incidence of surgical site infections in colorectal surgical patients. I chose this intervention based upon discussion with stakeholders within the organization I work. I found that we currently do not implement ERAS protocol on surgical patients.
In the United States, surgical site infections affect as many as 300,000 patients annually (Loyola University Health System, 2017) contributing to the costliest hospital-acquired infections with an estimated cost of $3.3 to $10 billion dollars annually and account for nearly 1 million additional inpatient days (Loyola University Health System, 2017; Centers for Disease Control and Prevention, 2021). The risk of surgical site infection after colorectal surgery is one of the highest when compared to any other surgical specialty. Colorectal surgery places a considerable burden on health care systems related to high complications risks, notably surgical site infections, and contributes to poor outcomes and increased readmission rates (Leaper et al., 2020; Turner & Migaly, 2019).
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