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Table 9 Quantitative analysis of the investments required according to ERAS professionals

From: Introducing enhanced recovery after surgery in a high-volume orthopaedic hospital: a health technology assessment

Items.

Additional investments required (average).

Additional staff.

78% favourable. On average, 2.8 more nurses, 2.8 more physical therapists, 1.9 more social health operators, 1 case manager, 1 internist, 1 nutritionist, and 1 dedicated physiatrist were requested.

Training.

Specific courses for every professional involved.

1-h training to the patients and their informal caregivers by a nurse and a physical-therapists when in operation (88.9%).

Communications/meetings.

Permanent periodic audit (100%).

Spaces and furnishings.

More space (62.9%), average 43 m2.

New furniture: a dedicated gym (18.5%), more PCs, desks and chairs (14.8%), electric beds (14.8%), showers (3.7%).

Machinery and equipment.

Additional Continuous Passive Motion machines (18.5%); intraoperative traction beds, ultrasounds, Patient-Controlled Analgesic (PCA) pumps, telemedicine (3.7%).

Management tools and software.

33.3% professionals favourable (inter-operational patient/ward registers, communication between hospital, general practitioner and rehabilitation facilities).