ABSTRACT
As indicated in chapter 1, the objective of our efforts is to improve overall outcomes after knee, hip and lumbar spine surgery, especially in relation to quality of recovery and signifi cantly reducing hospital-acquired infection and deep vein thrombosis. The strategy relies on immediate and continuing mobilisation, short hospital stay and immediate resumption of the activities of daily living. Since this approach represents a relatively radical change in perioperative management, it implies that organisational arrangements may also need to change. Careful thought must be applied as to how and by whom the various tasks involved in the process can be accomplished and how stakeholders in the process may be affected.
