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A local audit was performed on 919 patients undergoing elective breast surgery that determined compliance and the financial implications of performing inappropriate preoperative blood tests against the National Institute for Health and Care Excellence guideline. Initial findings of an unacceptable quantity of inappropriate blood tests led to the education of the pre-assessment clinic staff regarding the guidelines along with the development of a poster to guide the ordering of appropriate tests. A re-audit of 451 patients assessed impact of interventions which resulted in a significant reduction in the number of blood tests requested with a 71% reduction in financial expenditure. The blood tests considered inappropriate in both the initial and re-audit did not add any relevant clinical information and abnormal results did not alter the clinical course of the patient.<\/jats:p>","DOI":"10.1177\/1750458920952755","type":"journal-article","created":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T04:30:40Z","timestamp":1601267440000},"page":"379-385","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Audit of routine preoperative blood test requests for patients undergoing elective breast surgery: Less is more"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4465-1414","authenticated-orcid":false,"given":"Stacey","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Oncoplastic Breast and Reconstructive Surgery, St James's University Hospital, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajgopal","family":"Achuthan","sequence":"additional","affiliation":[{"name":"Department of Oncoplastic Breast and Reconstructive Surgery, St James's University Hospital, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiwei","family":"Ooi","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9759-7533","authenticated-orcid":false,"given":"Baek","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Oncoplastic Breast and Reconstructive Surgery, St James's University Hospital, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,28]]},"reference":[{"key":"bibr1-1750458920952755","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318265bcdb"},{"key":"bibr2-1750458920952755","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-14-22"},{"key":"bibr3-1750458920952755","unstructured":"Cancer Research UK statistics 2015\u20132017 https:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/breast-cancer#heading-Zero (Accessed 19 June 2020)"},{"key":"bibr4-1750458920952755","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/506172"},{"issue":"50","key":"bibr5-1750458920952755","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta16500","volume":"16","author":"Czoski-Murray C","year":"2012","journal-title":"Health Technology Assessment"},{"key":"bibr6-1750458920952755","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2002.02750.x"},{"key":"bibr7-1750458920952755","doi-asserted-by":"publisher","DOI":"10.1016\/S1479-666X(09)80019-X"},{"key":"bibr8-1750458920952755","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.03.004"},{"key":"bibr9-1750458920952755","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2007.00804.x"},{"key":"bibr10-1750458920952755","doi-asserted-by":"publisher","DOI":"10.1177\/000313481908500114"},{"issue":"5","key":"bibr11-1750458920952755","first-page":"149","volume":"102","author":"Morris PG","year":"2009","journal-title":"Irish Medical Journal"},{"key":"bibr12-1750458920952755","unstructured":"National Clinical Coding Standards OPCS-4 2019 Accurate data for quality information. 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