EP 292 Improving Adherence to Pre-Operative Assessment Investigation Guidelines for Elective Breast Surgery: A Clinical Audit
Clicks: 2
ID: 324052
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
Emerging Content
0.3
/100
2 views
1 readers
AI Quality Assessment
Not analyzed
Readership in this journal
EmergingRanked #402 of 432 articles by views in the british journal of surgery
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Abstract Aims The project aims to improve completion of required pre-operative assessment (POA) investigations for elective breast surgery patients according to local and national guidance, reducing the need for repeat hospital visits. Methods A retrospective data collection was conducted for patients undergoing elective breast surgery with POA appointments between November-December 2025 in a tertiary breast surgery unit. Emergency and joint-plastic surgery cases were excluded. Data was collected from electronic patient records (EPR) including demographics, procedures, and investigations such as full blood count (FBC), urea and electrolytes (U&Es), clotting screen, group and save (G&S), ECG, haemoglobin A1c (HbA1c) and MRSA swabs. Compliance for POA investigations was assessed against NICE guidelines (NG45) and time between POA, and surgery were assessed against trust guidance (at least two weeks prior to surgery). Results 70 adult patients were included in the study. On average, patients had their POA 12.8 days before their procedure. The highest compliance was FBC at 100% (70/70) and MRSA swabs at 98.6% (69/70). The lowest compliance was clotting screen at 62.6% (42/67) and G&S at 69.1% (47/68). Compliance for renal function was at 95.6% (65/68), HbA1c at 84.6% (11/13) and ECG at 90.9% (40/44). Conclusion The audit identified good compliance with investigations aside from clotting screen and G&S due to ambiguity in guidelines. Missed investigations may result in delayed surgeries. The proposed interventions will include multidisciplinary team discussions, an EPR virtual checklist and staff education sessions. A re-audit will be planned in 3 months to assess improvement post-intervention.
| Reference Key |
openalex_W7172484611
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Hafsah Ba, Camilla Knight, Elizabeth Senyo, Chien Soh, Ken Ho, Hirah Rizki |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.570
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.