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797 Beyond surgery: analysing healthcare professionals satisfaction in eras implementation process
  1. Mireia Castilla1,
  2. Marc Barahona1,
  3. Lola Martí1,
  4. Sergi Fernandez-Gonzalez1,
  5. Carlos Ortega1,
  6. Juan Carlos Torrejon1,
  7. Rodrigo Guevara1,
  8. Judit Alemany1,
  9. Alvaro Cañizares1,
  10. Marta Avella1,
  11. Veronica Valois1,
  12. Jose Jerez1,
  13. Laia Juan2,
  14. Nuria Gil1 and
  15. Jordi Ponce1
  1. 1Gyneacologic Department University Hospital of Bellvitge (IDIBELL), Hospitalet Llobregat, Spain
  2. 2MSC Engineering. Project Manager (IHS Iberia). Medtronic, Barcelona, Spain


Introduction/Background Beyond implementation of ERAS (Enhaced Recovery After Surgery), we designed a complete change of the surgical process with the aim of improving, not only the quantitative results (stays, complications) but the qualitative (both satisfaction patients and professionals). For that, we obtained a European grant (FEDER-RISC3CAT) of €1,134,000, which involved purchase of materials, devices, and a shared risk consultancy with MEDTRONIC (Data and Project manager) for the implementation of the whole new process, including prehabilitation, ERAS and new data registry with an automated dashboard on the results. This communication describes the assessing ERAS impact on healthcare professionals satisfaction for improved implementation and experience.

Methodology A survey with 10 questions on change management, development, communication, leadership, and satisfaction, along with a Net Promoter Score (NPS) scale, was conducted. Two completed phases: Phase 1 (52 professionals pre-training) and Phase 2 (57 professionals post-training) included doctors, nurses, physiotherapists, anaesthetists, managers, nutritionists, etc. Phases 3 and 4, assessing at 3 months post-implementation and consolidation after one year, are pending for future study stages.

Results In Phase 1, 73% responded, yielding an NPS of 28.95%. Promoters and passives were 42.11% and 44.74%, with 13.16% detractors, mainly experienced nursing staff. Phase 2 had a 55% response rate, achieving an NPS of 48.40% (Chart 1). Promoters increased to 54.8%, passives decreased to 38.71%, and detractors reduced to 6.45%, indicating notable changes in perception and satisfaction post-training implementation.

Conclusion The implementation of the ERAS protocol in gynaecological surgery leads to a noteworthy enhancement in healthcare professionals’ satisfaction, as evidenced by the substantial increase in NPS from 28.95% to 48.40%. This positive shift underscores the effectiveness and widespread acceptance of the training program.

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