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 recovery

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... fter surgery, LOS = length of stay, VRS = verbal rating scale, IV = intravenous, ED = emergency department Abstract 6 Figure 1 Current state process map Abstracts BMJ Open Quality 2020;9(Suppl 1):A1-A32 A9 on July 16, 2021 by guest. Protected by copyright. Abstract 6 Figure 2 Fishbone barriers to removal Abstract 6 Figure 3 Driver diagram and priority matrix Abstract 6 Figure 4 Criteria and decision support tool