TPTh 7.05 Urgent MRCP Pathway Performance: A Baseline Audit of Delays and Service Impact

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ID: 324027
2026
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Abstract
Abstract Aims To evaluate the efficiency of an urgent MRCP pathway at a District General Hospital by quantifying time from request to imaging and definitive treatment, identifying modifiable contributors to delay, and the associated service impact to guide targeted quality improvement intervention and re-audit. Methods A retrospective audit was conducted between 1st June and 22th September 2025 of all MRCP requests for suspected biliary pathology. Cases where MRCP was not performed or where key data fields missing were excluded. Outcomes were MRCP request to scan time (overall, inpatient, outpatient), documented reasons for delay, readmissions while awaiting MRCP, and inpatient bed-days attributable to waiting. Results 123 requests were identified; 4 were excluded due to MRCP not performed, leaving 119 requests. Overall, the median time from request to scan was 3 days (IQR 2-6 days), and mean of 7.99 days. Inpatients (n=85) waited median 2 days (IQR 1–4) and mean 2.96 days. For outpatients (n=34), the waited median time was 13 days (IQR 3–31), with mean 18.56 days. Key contributors to delay were scheduling delays (64/119, 54%), and weekend delays (33/119, 28%). While awaiting MRCP, 4 patients were readmitted. Inpatients awaiting MRCP accounted for 252 bed-days. Conclusions Turnaround times within the urgent MRCP pathway were prolonged, and were associated with avoidable bed occupancy and readmissions, delaying definitive management. Awaiting MRCP inpatient days equated to £86,940, suggesting a scope for pathway optimisation. Protected MRCP slots, a prioritisation list, and escalation triggers for inpatient waits >48hrs will be implemented, with a re-audit.
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Authors Chun Pui Joshua Wong, Aniket Kochhar, EBRU BİLEN, Matthew Dunstan
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.495
URL
https://doi.org/10.1093/bjs/znag087.495
Keywords Keywords not found

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