Medication management is complex process. It is very potential process for the patient safety. Recent JCI STUDY published (March 13, 2019), in 2018, The Joint Commission reviewed a total of 801 sentinel events. Medication errors are the 10 most frequently reported types of sentinel events in 2018. The main aim of study is to smoothening of medication management process. In this process there are many persons involves like Doctor, Nurses, Pharmacists, Hourse keeping, and PCA. Initially we were nothing in medication safety….even we didn’t know about medication safety in details… We read the standards of NABH, JCI and Pharmacie de qualite….there are so many improvement scope for medication safety in our hospitals…we done 6 NABH Audit, 2 JCI Audit and 4 Pharmacie De Qualite Audit for continuous improvement of medication safety in hospitals. For continuous review of the medication-use process and to assess compliance with Medication Management Standards. We did the audit of various parameters of medication management as per JCI Standards. We took comparative data of 2018-19 and 2019-20. We made Google form and collect the data and compare the data.. we found significant improvement from this tracer methodology. Now a day this tracer method is habit in our institute. Implementing this proactive strategy will improve the ability of institutions to continuously review the medication-use system in various practice areas and identify deviations in policy and practice. Consistency and continuous follow up for this audit is very most important tool for safe medication practices.