TY - JOUR T1 - Enhanced recovery programme in gynaecology: outcomes of a hysterectomy care pathway JF - BMJ Quality Improvement Reports JO - BMJ Qual Improv Report DO - 10.1136/bmjquality.u206142.w2524 VL - 4 IS - 1 SP - u206142.w2524 AU - Debjani Mukhopadhyay AU - Khalil Razvi Y1 - 2015/01/01 UR - http://bmjopenquality.bmj.com/content/4/1/u206142.w2524.abstract N2 - There was a wide variation in the perioperative management of women undergoing hysterectomy for both benign and malignant disease at Southend University Hospital NHS Foundation Trust prior to 2010. The median length of stay following a hysterectomy and more radical gynaecological oncology surgery was five days and seven days respectively. The NHS East of England Strategic Health Authority commissioned the development of Enhanced Recovery Programme (ERP) in various surgical specialties including gynaecology and the pathway was implemented from 2012 onward.Dedicated specialist nurses collected data prospectively. The median length of stay was shortened to three days. This difference was statistically significant with a P value = 0.0001. We describe the successful implementation of an ERP in Southend Hospital resulting with no difference in measurable morbidity and mortality, a shorter length of stay, and a high patient satisfaction scores and outcomes. ER -