Successful implementation of enhanced recovery programs identified through contextual factors

A study identifies critical contextual factors for effective implementation of enhanced recovery programs (ERPs) in hospitals. Out of 86 hospitals, 30.2% achieved high ERP adherence. Success scenarios included low-socioeconomic status hospitals eager for change lacking team cohesion, low surgical volume hospitals with strong staff buy-in, and high-volume hospitals needing leadership support while ensuring appropriate workload. The findings underscore the importance of organizational readiness and support in enhancing surgical care outcomes.