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Abstract Aim Enhanced recovery after surgery (ERAS) is a multimodal perioperative care protocol to standardise care. In our facility an ERAS protocol is used for eligible patients undergoing free flap breast reconstruction. Moving to an ePrescribing system allowed us to easily audit our perioperative prescribing. Method A closed loop audit investigating ERAS prescribing of breast reconstruction patients in a single centre. We investigated whether medications were correctly prescribed as per protocol whilst an inpatient and on discharge over a 3-month period. We then introduced, with input from pharmacy and consultant colleagues, a poster to be displayed on the wards as well as a PowerPoint presentation for resident doctors and nurses. Followed by a second data collection cycle. A third cycle, following the introduction of a post-operative ePrescribing protocol, is currently underway. Results 31 patient records were identified in the first cycle, 41 in the second. For inpatient prescribing laxative prescriptions improved greatly (19.4% to 62.5%) as did TED stockings (6.5% to 20.8%). Analgesia, anti-emetic and enoxaparin prescribing was 100% in both rounds of our audit. On discharge, prescribing of tamoxifen and enoxaparin was 100%. Laxido prescribing improved (12.9% to 54.2%). All patients, where indicated, received extended enoxaparin on discharge correctly. Conclusions The use of a simple poster can improve compliance with the ERAS protocol in a busy centre. It works as a quick reference, ensuring standards are maintained despite rotation of staff. Engagement with the wider team beyond resident doctors, including anaesthetist, pharmacist and ward nurses is key to safeguard lasting improvements.