Asthma Annual Review and Reliever Overuse Audit

Free projects are complete and ready to use. Paid projects can also be adapted to your local requirements. This project uses a fixed Lazomis clinical configuration of 28 audit criteria across cohort and review context, asthma control assessment, exacerbation and risk review, reliever use and possible over-reliance, medicines review and adherence, inhaler technique, personalised action plan and self-management, triggers and wider review, and follow-up and escalation. Data collection, dashboards, findings, improvement planning, re-audit and every output are included at no cost.

• GPs, practice nurses, clinical pharmacists, ACPs and physician associates
• Respiratory nurses, community pharmacists and long-term condition leads
• QI, clinical governance and service management teams
• Trainees needing ARCP-ready evidence

• Measure whether asthma control is assessed using a structured or validated method
• Review whether exacerbation history, urgent care use and higher-risk features are documented
• Review reliever use, possible SABA over-reliance and the action taken where concern is identified
• Review medicines, adherence, inhaler technique, personalised asthma action plans and follow-up
• Generate governance-ready and ARCP-ready evidence

• Anonymised case number, review date, audit cycle and location
• Age band, adult/young person/child category, care setting and register status
• Asthma control method and status, exacerbations and urgent care use
• Reliever strategy, SABA issue bands, technique method and action plan status
• 28 fixed audit criteria (Yes / No / Not applicable)
• Free-text learning points

• Live dashboard
• Audit report (Word)
• Executive summary (Word)
• Excel workbook
• PowerPoint presentation
• Conference poster
• ARCP evidence summary

• Designed to use anonymised or pseudonymised audit identifiers.
• This tool supports, but does not replace, clinical judgement.
• Local policy, formulary and specialist advice should be followed.
• Organisations remain responsible for local governance arrangements.
• This tool supports clinical audit and quality improvement. It does not replace clinical judgement, local policy, local formulary, specialist advice or urgent escalation pathways.
• Acute asthma symptoms, severe breathlessness, rapidly worsening asthma or suspected life-threatening asthma should be managed according to local urgent or emergency pathways.
• Reliever-use signals are audit prompts only. SABA thresholds do not apply to ICS/formoterol reliever or MART regimens, and QOF indicators are not presented as the full clinical standard.
• Use anonymous case identifiers only — never patient-identifiable information.

Supporting guidance from the Lazomis QI Resource Library. Authoritative clinical standards referenced by this project remain separate.

• Clinical GovernanceIntegrating Quality Improvement into Clinical Governance FrameworksThis article explores the vital relationship between Quality Improvement (QI) and Clinical Governance within the NHS, demonstrating how they are two sides of the same coin when aiming for continuous, systematic improvement in patient care.
• Quality ImprovementPlanning Effective PDSA Cycles for Quality ImprovementThis guide provides a practical, step-by-step approach to planning effective Plan-Do-Study-Act (PDSA) cycles for quality improvement initiatives within the NHS, focusing on robust design and learning. It covers essential considerations from defining your aim to anticipating challenges, helping teams systematically test changes.
• Quality ImprovementHow Many PDSA Cycles Does a Quality Improvement Project Need?This guide explains the iterative nature of PDSA cycles and offers practical advice for determining the appropriate number of cycles needed for effective quality improvement in NHS settings.
• Quality ImprovementPDSA Cycles: A Practical Guide to Testing Change in HealthcareThis guide provides a practical overview of Plan-Do-Study-Act (PDSA) cycles, a fundamental tool for testing changes in healthcare quality improvement. It details how to apply PDSA effectively, common challenges, and integration with broader QI efforts.