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Group and Save samples (G&amp;S) are routinely performed before laparoscopic appendectomies (LA). Cycle-1 of this QIP showed &amp;lt;1% of patients required blood products perioperatively. We recommended and implemented that a G&amp;S request should be at the clinician’s discretion and not routinely performed. Cycle-2 assesses the impact of our recommendation. Method In Cycle-1 patients who had undergone LA and laparoscopic conversion to open appendicectomies between January - December 2018 were identified using Operating Room Management Information System. Patients who had G&amp;S performed and patients receiving blood products were identified using the hospital’s electronic patient records and online pathology reporting service. Patients from December 2019 to June 2020 formed Cycle-2 of this QIP. Results 124 patients were included in Cycle-2 (versus 263 in Cycle-1). 58% of patients had G&amp;S taken (versus 99.6% in Cycle-1). 0.81% required a transfusion post-operatively (versus 0.76% in Cycle-1). The average number of G&amp;S per patient was reduced by 1.19, saving the Trust £23.80 per patient. Conclusions Blood products are not routinely required peri-operatively, therefore G&amp;S should be ordered at the clinician’s discretion. This safely saves the Trust significant cost and improves patient experience by eliminating the discomfort of unnecessary blood tests.

977 The Role of Group and Save Samples in Perioperative Management of Laparoscopic Appendicectomies: A 2-Cycle Quality Improvement Project (QIP)