• Amelia Fisher, Alvin Katumba, Khalid Musa, Shehana Wijethilleke, Zaibun Khan, Yooyun Chung, and Waqas Akhtar.
• St James's University Hospital, Leeds, UK amelia.fisher2@nhs.uk.
• Clin Med (Lond). 2021 Mar 1; 21 (2): 142146142-146.

AbstractHaematology inpatients are subject to extensive blood testing and many of these tests could be deemed inappropriate as they are not indicated for monitoring or clinical symptoms. Unnecessary testing exposes the patient to the risks of phlebotomy and adds resources' strain to the NHS.Our aim was to reduce the number of inappropriate blood tests performed on haematology inpatient wards.Quality improvement projects (QIPs) were performed in four haematology units introducing inpatient blood testing schedules (BTS) or providing staff education on current schedules.A reduction in inappropriate or overall blood testing was achieved at every site where a BTS was implemented, with a median reduction in inappropriate blood testing of 24.7% and estimated cost savings of up to £38,438 per annum.This QIP can be safely adapted to a variety of inpatient settings and is associated with cost savings. This initiative could be extended to other inpatient departments throughout the NHS.© Royal College of Physicians 2021. All rights reserved.

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