Table 1 Program items implemented

1.^aWritten multidisciplinary preoperative patient information.

2. Reduction in preoperative duration of fasting (time from cessation of clear fluids to spinal or induction of general anesthesia, whichever came first). Reduction in postoperative duration of fasting (time from completion of suturing to first intake of clear fluids)

3. Increase in spinal anesthesia

4. Decrease in general anesthesia (use of laryngeal mask airway, endotracheal tube or bispectral index < 60)

5. Intraoperative antiemetic prophylaxis (at least 1 antiemetic)

6. Tranexamic acid (1 g intravenously at commencement of surgery)

7. Intraoperative forced air warmer and fluid warming

8. Oral multimodal analgesia

9. Cessation of intravenous fluid on day 1

10. Postoperative physiotherapy assessment on day of surgery

11. Postoperative independent mobilisation ≥3 m on day of surgery

12.^aPredefined discharge criteria