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An audit of preoperative blood tests
Soni Putnis1, Joe Nanuck, Dugal Heath
1General Surgery, SE Thames Region.
Purpose:
Audit of the use of preoperative blood tests in elective general surgery in a district general hospital. Comparison is made with the National Institute for Health and Clinical Excellence (NICE) guidelines and recommendations.
Methodology:
Retrospective audit of preoperative blood tests performed for elective general surgical patients in a district general hospital over a one month period.
Findings:
Patients attending preoperative assessment for general surgery have blood tests performed in excess of the NICE guidelines. The most frequently requested test that is performed against NICE guidelines is a coagulation screen. This was requested in excess of the national guidelines in 17.8% of cases.
Practical Implications:
This audit highlights the overuse of preoperative blood tests and provides suggestions for improving efficiency and economics in the preoperative setting. ORIGINALITY/VALUE OF PAPER: There have been no published audits assessing the current practice against the 2003 NICE guidelines for the use of routine preoperative tests for elective surgery.
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