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p<0.001). The percentage of patients experiencing moderateto-severe pain and postoperative nausea and vomiting within the first 24-hours decreased by 25% and 15%, respectively (p<0.001). 30-day emergency department visits following discharge decreased by 5% (p=0.030) (table 3, figures 2 and 3). Conclusions Significant improvements in the recovery of patients after TKA were achieved by performing a RCA and implementing a multi-disciplinary, patient-centered ERAS bundle. ERAS = enhanced recoverydoi:10.1136/bmjoq-2020-ihi.6 fatcat:jy4orjxribbdzifbamlqrmbxva