Governance reminder
Lazomis QI supports quality improvement planning and documentation. It does not replace clinical judgement, local handover policy, professional responsibility, escalation pathways or organisational governance processes. Ensure all improvement activity is agreed and implemented in accordance with local requirements.
1. Baseline findings summary
Pulled from the dashboard where sufficient data is available.
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 |
|---|---|---|---|---|
| Introduce a structured handover template (SBAR / situation-background-assessment-recommendation) in the electronic handover list | Variable handover structure and incomplete content | Clinical Lead for Handover | 8 weeks | Planned |
| Add mandatory task owner and deadline fields to each outstanding task | Task ownership and timeframe frequently not documented | Digital / EPR Team | 10 weeks | Planned |
| Include escalation plan and treatment escalation status prompts for unstable patients | Escalation plans and ceiling-of-care status inconsistently handed over | Deputy Medical Director | 12 weeks | Not started |
| Weekly ward-level handover quality feedback at safety huddle | Variation between wards and out-of-hours periods | QI Lead | 4 weeks | In progress |
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 clinical handover improvement.
Structured handover format
Shift-to-shift handover reliability
Weekend handover quality
Out-of-hours handover quality
Ward transfer handover
ED to AMU / specialty handover
Documentation of active clinical problems
Task ownership and deadlines
Urgency and prioritisation
Escalation and contingency planning
Deterioration risk communication
Pending results and investigations
High-risk medication and allergy communication
Treatment escalation status communication
Safeguarding and mental capacity handover
Closed-loop handover confirmation
EPR handover templates and prompts
Handover education and induction
Feedback to clinical teams
Incident learning and governance review
Re-audit and sustainability