Medicines Reconciliation Within 24 Hours of Admission

Medicines reconciliation on admission reduces medication errors and avoidable harm. This audit reviews whether reconciliation is completed accurately, using reliable sources, and within 24 hours of admission.

Aim

Measure compliance with completing accurate medicines reconciliation within 24 hours of hospital admission.

Standard / guidance

NICE NG5 (Medicines optimisation); NICE/NPSA guidance on medicines reconciliation on admission.

1. Confirm the case meets the inclusion criteria.
2. Record whether each bundle element was delivered.
3. Add context in the notes if needed and submit.
4. Review compliance instantly on the dashboard.

Include

• Adult patients (16+) admitted to an inpatient ward
• Patients taking one or more regular medicines prior to admission

Exclude

• Day-case and short-stay patients not formally admitted
• Patients with no regular medicines prior to admission