Interactive Safety Tool

Pediatric Medication Reconciliation and Transition Audit

Evaluate the reliability of pediatric medication reconciliation and medication communication during admission, internal transfer, interfacility transfer, and discharge.

Professional notice: Use this tool with the organization's approved medication-reconciliation policy, formulary, transition-of-care procedures, and documentation standards. It does not replace clinical judgment, patient-specific reconciliation, or institutional policy.

Step 1 of 4: select a transition type.

Transition

Select transition type

Choose the pediatric transition point to audit. Setup and criteria appear after a transition type is selected.

Custom transition name Optional description

Print Blank Audit Form

Audit Setup

Audit information

No patient information should be entered in this tool. Required fields are marked.

Facility or organization Department or unit Required Auditor Required Audit date Required Transition type Required Population or care area Policy or procedure reviewed Policy version or revision date Audit period Number of records reviewed Previous audit date General notes

Audit

Assess one audit domain at a time

Governance and Accountability

0 of 0 complete

Custom Criteria

Add local criteria to this audit

Assign institution-specific criteria to any audit domain.

Domain Criterion

Outcome

Outcome and action summary

Readiness Percentage

0% Incomplete audit

Total applicable criteria 0

Compliant 0

Deficiencies 0

Not applicable 0

Incomplete criteria 0

These thresholds are suggested quality-improvement indicators and may be modified by institutional policy. Not applicable responses are excluded from the readiness denominator.

Transition type

Not selected

Deficiencies grouped by domain
Domain	Criterion	Status
No deficient items documented.

Auditor signature: ____________________________________

Leadership review: _____________________________________

Date: _________________________________________________

Disclaimer: This quality-improvement tool supports process assessment and quality-improvement documentation only. It must not collect patient-specific medication information or protected health information. Version 1.0.