Governance reminder
Lazomis QIP supports quality improvement, audit and governance activity. It does not replace clinical judgement, professional responsibility, local policy or organisational governance processes.
1. Baseline findings summary
Pulled from dashboard where possible.
2. Key problems identified
3. Root cause / contributory factors
People · Process · Environment · IT · Documentation · Communication · Training · Workload
4. Improvement aim
Specific, measurable, achievable, relevant, time-bound
5. Suggested local improvement actions
Editable — framed as local implementation ideas, not national guidance.
| Action | Linked problem | Owner | Target date | Status |
|---|---|---|---|---|
| Make allergy status a mandatory EPR field on admission clerking and medicines reconciliation | Allergy status inconsistently documented | IT & Medicines Safety Committee | 8 weeks | Planned |
| Enforce structured allergen and reaction coding at prescribing | Reaction and severity often free-text only | EPR / Prescribing lead | 12 weeks | Planned |
| Add allergy section auto-populated from prescribing system to discharge summary template | Allergy missing from discharge summaries | Discharge / Communication lead | 10 weeks | In progress |
| Ward-level feedback of allergy documentation compliance | Variation between wards | QI Lead | 4 weeks | In progress |
| Standardised patient information leaflet for new suspected drug allergy | Patients not consistently informed / written info missing | Pharmacy + Comms | 6 weeks | Not started |
6. PDSA cycle 1
Plan · Do · Study · Act
7. Intervention log
8. Re-audit plan
9. Sustainability plan
10. Learning points
11. Governance summary
12. ARCP / portfolio evidence summary
Populates the ARCP evidence output.
Improvement themes
Common action areas for allergy documentation improvement.
Mandatory EPR allergy fields on admission
Structured allergen and reaction coding
Medicines reconciliation completion
Consistency between GP record and hospital record
Discharge summary allergy template
Communication of new suspected drug allergy to patients
Written allergy information for patients
Specialist allergy referral pathways
Prescribing alert design and override monitoring
Pharmacy contribution to allergy documentation
Handover of allergy information between teams
Training on drug allergy documentation
Feedback loops to ward teams
Incident reporting for allergy-related safety events
Re-audit and sustainability