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A retrospective observational study was performed in our trust in October 2010 that examined compliance, and the financial and clinical implications of performing inappropriate preoperative blood tests on adult patients prior to elective surgery, against the 2003 NICE guidelines. An unacceptable proportion of inappropriate tests (31.3%) were being performed. None were associated with adverse outcome or changes in management. Based on our results, we estimate that an extrapolated cost of pound 11.2 million is being spent on inappropriate blood tests in NHS England and Wales.

Type

Journal article

Journal

Journal of perioperative practice

Publication Date

09/2012

Volume

22

Pages

282 - 288

Addresses

Chelsea & Westminster Hospital, 369 Fulham Road, London SW10 9NH. gokulan.phoenix@nhs.net

Keywords

Humans, Clinical Chemistry Tests, Hematologic Tests, Preoperative Care, Surgical Procedures, Elective, Health Care Costs, State Medicine, Quality of Health Care