Medicines Reconciliation Within 24 Hours 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 24 audit criteria across reconciliation completion and timeliness, medicines list accuracy and sources, allergy documentation, discrepancy identification and resolution, high-risk medicines and monitoring, communication and transfer of care and documentation of exceptions. Data collection, dashboards, findings, improvement planning, re-audit and every output are included at no cost.

• Ward pharmacists and technicians
• Foundation Doctors
• Acute Medicine teams
• Medicines Safety leads

• Measure reconciliation completion within 24 hours
• Assess use of two reliable sources
• Identify and categorise discrepancies
• Generate governance-ready evidence

• Anonymised case identifier
• Time to reconciliation
• Sources used
• Discrepancies identified and resolved

• 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 audit tool supports medicines reconciliation documentation review and quality improvement. It does not replace clinical judgement, local medicines reconciliation policy, prescribing guidance, pharmacy advice or specialist advice.
• Audit data alone cannot support conclusions about negligence, professional misconduct, causality or avoidable harm.
• Reconciliation timeframes, scope and required sources are set by local policy and are not defined by this tool.
• 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.

• Patient SafetyMedicines Safety: A Systems Approach to Reducing HarmThis guide moves beyond individual error, explaining how a systems-based approach can fundamentally improve medicines safety across the NHS and reduce patient harm by addressing underlying contributing factors.
• Patient SafetyStandardisation in Healthcare: Enhancing Patient Safety and EfficiencyThis guide examines the role of standardisation in improving patient safety and efficiency within the NHS, offering practical insights and a structured approach to implementation.
• Clinical AuditSpreading and Sustaining Quality Improvement: A Practical GuideThis guide provides practical steps and considerations for successfully spreading and sustaining Quality Improvement projects within the NHS, moving from local success to wider organisational impact.
• Clinical GovernanceClinical Governance Explained: A Framework for Quality and Safety in the NHSThis article defines clinical governance, outlines its key pillars, and explains why a robust framework is crucial for maintaining and improving patient safety and quality of care within the NHS.