Compliance with components of the perioperative care pathways
| Pathway; component | Compliance rate, % | |
|---|---|---|
| Post-SSIB | Post-SSIB/post-ERAS | |
| Surgical site infection bundle | ||
| Preoperative | ||
| Scrub | 91 | 86 |
| Appropriate hair removal | NR | NR |
| Appropriate antibiotic timing | 47 | 92 |
| Appropriate antibiotic | 83 | 96 |
| Blood glucose measurement | 27 | 87 |
| Bowel preparation | 39 | 78 |
| Intraoperative | ||
| Isolation technique | 76 | 86 |
| Wound barrier | 86 | 88 |
| Antimicrobial sutures | 86 | 88 |
| Antibiotic redosing if case > 4 h | 56 | 62 |
| Temperature measurement | NR | NR |
| Warming | 83 | 96 |
| Blood glucose measurement | 1 | 2 |
| Postoperative | ||
| Normothermia attained in postanesthesia recovery | 93 | 80 |
| High-flow oxygen for 1 h | 2 | 66 |
| Blood glucose measurement | 23 | 76 |
| Standardized wound care orders | 45 | NR |
| Dressing removed on postoperative day 2 | 37 | NR |
| Enhanced recovery after surgery | ||
| Preoperative | ||
| Preadmission counselling | — | 97 |
| Both doses of carbohydrate drink administered | — | 85 |
| Venous thromboembolism prophylaxis | — | 90 |
| Prophylactic antibiotic 0–60 min before incision | — | 93 |
| Oral antibiotic therapy | — | 80 |
| Intraoperative | ||
| Goal-directed fluid therapy | — | 79 |
| Multimodal pain management | — | 79 |
| Normothermia attained in postanesthesia recovery | — | 93 |
| Multimodal antiemetic therapy | — | 80 |
| No abdominal or pelvic drains | — | 87 |
| Postoperative | ||
| Chewing gum by postoperative day 0 or 1 | — | 78 |
| Clear fluids started by postoperative day 0 or 1 | — | 77 |
| Intravenous fluid administration discontinued by postoperative day 0 or 1 | — | 13 |
| Prophylactic antiemetic for 24 h | — | 93 |
| Mobilization by postoperative day 0 or 1 | — | 87 |
| Mobilization 2 times per day by postoperative day 2 | — | 80 |
| Eating solid food by postoperative day 2 | — | 38 |
| Foley catheter removed by postoperative day 2 | — | 74 |
ERAS = enhanced recovery after surgery; NR = not reported (reviewers were unable to collect compliance for these variables); SSIB = surgical site infection bundle.