The Enhanced Recovery After Surgery (ERAS) is a managed care program that has shown
the ability to reduce complications following elective colorectal surgery. In 2006,
the ERAS® Society developed the ERAS® Interactive Audit System (EIAS), which has allowed centers in over 20 countries to
enter perioperative patient data to benchmark against international practice within
the audit system and act as a stimulus for quality improvement. The de-identified
patient data are coded in SQL (a relational database), stored on secure servers, and
data governance aspects have been secured in all involved countries. A collaborative
approach is undertaken within involved units toward research questions with published
cohort data from the audit system having demonstrated the importance of overall compliance
on improving patient outcomes and less cost of care. The EIAS has shown that collaborative
clinical effort can drive quality improvement in a short time frame in an international
context.
Keywords
surgery - audit - perioperative care - outcomes
