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 SafetyIntegrating Patient Safety and Quality Improvement: A Practical Guide for UK CliniciansThis guide explains the foundational principles of patient safety and quality improvement (QI) within the UK healthcare context, offering practical strategies for clinicians to enhance safety and improve care delivery.
• Clinical AuditHow to Prepare an Effective Quality Improvement Poster for the NHSLearn how to effectively plan, design, and present a Quality Improvement (QI) poster for conferences, departmental meetings, or professional portfolios. This guide focuses on clear communication and practical application within the NHS context.
• 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.