Key process metrics for reporting eras pathway compliance
| Metric | Criteria for compliance |
| Preoperative phase | |
| 1. Bowel preparation | If patient is undergoing debulking, were they administered mechanical bowel prep and oral antibiotics? All other patients: Was no bowel prep administered? |
| 2. Preoperative nutrition | Did the patient drink one of the approved preoperative carbohydrate drinks on the morning of surgery? |
| 3. Preoperative site prep: | Did the patient use chlorhexidine wash at least once preoperatively? (exclude vaginal hysterectomy) |
| 4. Preemptive non-opioid analgesia | Did the patient receive preoperative acetaminophen or celecoxib? |
| Perioperative phase | |
| 5. Intraoperative antiemetics | Did the patient receive two or more antiemetics? |
| 6. Intraoperative fluid management: | Did the patient receive ≤4 mL/kg/hour of crystalloid/colloid intraoperatively? |
| 7. Wound protector use | If the colon was divided, was a wound protector used? |
| Postoperative phase | |
| 8. Postoperative analgesia | Did patient receive non-opioid analgesics (Ketorolac, acetaminophen, NSAIDS) at least once within 24 hours? |
| 9. Postoperative fluid management | Did patients receive ≤1 mg/kg/hour of intravenous fluids for the first 48 hours postoperatively (average)? |
| 10. Early postoperative ambulation | Did the nurse document that the patient was out of bed to chair or ambulating within 8 hours after surgery? |
NSAID, non-steroidal anti-inflammatory.