Question 1

Who should run this audit?

Accepted Answer

Doctors, IMTs, registrars, QI fellows, ward nurses, site and hospital at night teams, and governance leads are all well placed to run this audit. Include a named project lead, a consultant supervisor, a nursing lead and, where possible, the local clinical lead for handover.

Question 2

What permissions do I need?

Accepted Answer

Most trusts treat this as clinical audit / service evaluation and do not require ethics approval, but you must register the project with your local clinical audit or governance team before starting. Use only pseudonymised identifiers — do not enter NHS numbers, hospital numbers, names or dates of birth.

Question 3

How do I sample?

Accepted Answer

Use consecutive handover episodes over a defined period (for example one week per clinical area), covering weekday, weekend, day and night handovers. A sample of 30–50 per area gives a reasonable point estimate; 100+ across the organisation supports comparison by handover type, setting and location.

Question 4

What does the tool measure?

Accepted Answer

Whether clinical handovers are structured, complete, risk-aware, action-focused and documented clearly enough to support safe continuity of care — covering handover context, clinical content, escalation and deterioration risk, outstanding tasks and ownership, key safety risks, closed-loop confirmation and overall documentation quality.

Question 5

What happens after data collection?

Accepted Answer

The dashboard updates in real time. Use the Findings tab to interpret results, the Improvement tab to plan actions and PDSA cycles, and the Export centre to generate editable Word, PowerPoint, Excel and ARCP evidence outputs.

Question 6

Do I need to sign in to see the tool?

Accepted Answer

No. Authentication is handled at the main Lazomis QI website. Inside the tool you will already be in your authenticated workspace, or in demo mode with clearly labelled sample data.