[PDF] Regional audit of medicines reconciliation on the immediate discharge document

Guidelines and Audit Implementation Network - GAIN
Guidelines and Audit Implementation Network (GAIN)
Publication date:
03 April 2017


The aim of this audit was to evaluate the current processes in place for accurate medicines reconciliation on the Immediate Discharge Document (IDD) issued by Health and Social Care (HSC) Trusts in Northern Ireland. 

The audit’s key findings are that receipt of IDDs by Primary Care is often delayed, information relating to new, changed and stopped medicines falls well below optimum standards and documentation about anticoagulation is poor. The areas for immediate attention include: 

  • the time between discharge and receipt of the IDD by the General Practitioner (GP)
  • the noting and rationale for medicines that are started, changed or stopped
  • an improvement of detail around allergy status
  • adherence to best practice in respect of the high risk area of anticoagulation