Étude des conditions d'implantation de la récupération améliorée apres chirurgie: une étude qualitative dans quatre établissements de soin

Audrey Petit (1) , Frédéric Dugué , Dominique Fletcher (2, 3, 4) , Valéria Martinez (2, 3, 4)

1 CSO - Centre de sociologie des organisations (Sciences Po, CNRS)
2 LPPD - Physiopathologie et Pharmacologie Clinique de la Douleur
3 Hôpital Ambroise Paré [AP-HP]
4 UVSQ Santé - Université de Versailles Saint-Quentin-en-Yvelines - UFR Sciences de la santé Simone Veil

Objective: Enhanced recovery after surgery (ERAS) aims to reduce the duration of hospital stay while improving the quality of care. We have evaluated the setting and development of an ERAS programme through the description of the details of implentation and the identification of structural factors. Method: The study was conducted in four institutions. We use a qualitative methodology (interviews, observations, analysis of documents). We have performed a content analysis of all the data collected. Results: The conclusions of this analysis was that implementation of ERAS programme varies according the institution. However structural factors determine the success of the procedure. Conclusion: There is a need to identify such factors in a given institution to facilitate the setting of ERAS programme.

Mots clés: Audit; Enhanced recovery after surgery; Patient's care management

Domaines: Sciences du Vivant [q-bio]

Audrey Petit, Frédéric Dugué, Dominique Fletcher, Valéria Martinez. Étude des conditions d'implantation de la récupération améliorée apres chirurgie: une étude qualitative dans quatre établissements de soin. Praticien en Anesthésie Réanimation, 2021, 25 (3), pp.145-155. ⟨10.1016/j.pratan.2021.04.004⟩. ⟨hal-03287347⟩