Sepsis Six 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 22 audit criteria across recognition and assessment, escalation and senior review, initial sepsis management, oxygen and fluids, source and further management, reassessment and continuity, and handover and learning. Data collection, dashboards, findings, improvement planning, re-audit and every output are included at no cost.

• Emergency Medicine, Acute Medicine and ward teams
• Sepsis, critical care outreach and hospital-at-night teams
• Nursing, pharmacy and antimicrobial stewardship teams
• QI, audit and clinical governance leads

• Review whether suspected sepsis is recognised and risk assessed
• Review escalation, senior review and response documentation
• Review initial management, reassessment and handover documentation
• Generate governance-ready evidence and plan re-audit

• Anonymised case reference (no patient identifiers)
• Case context: age band, sex/gender recorded, care setting, assessment context and NEWS2 risk context
• Twenty-two fixed audit criteria (met / not met / not applicable)
• Free-text learning point and any project-level notes

• 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 audit and quality improvement only. It does not provide sepsis diagnosis, antibiotic, oxygen or fluid prescribing advice, lactate interpretation, escalation decisions or emergency treatment recommendations.
• Antibiotic choice and timing, oxygen targets, fluid volumes, lactate thresholds, escalation response times and critical care criteria are set by local policy and are not defined by this tool.

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

• Clinical GovernanceTurning Governance Data into Clinical ImprovementThis guide outlines how NHS teams can transform routine clinical governance data into actionable insights, driving measurable improvements in patient care, safety, and efficiency. It covers practical steps from data collection to implementation and review.
• Lazomis QI GuidesWhy Clinical Governance Needs Better Data: From Compliance to ImprovementThis article explains why robust data is crucial for effective clinical governance, shifting its focus from mere compliance to active, continuous improvement in patient care and service delivery.
• Training and PortfolioHow Governance Work Strengthens Your NHS Portfolio and CareerExplore how active participation in clinical governance, audit, and quality improvement (QI) directly translates into portfolio evidence crucial for career progression in the NHS.
• Patient FlowOptimising Patient Flow Between Emergency Department and Acute Medical UnitThis guide explores common challenges in patient flow between the Emergency Department (ED) and Acute Medical Units (AMU), offering practical strategies for improvement, focusing on clinical and operational alignment.