Quality Improvement Project: Driving advice at first seizure consultation in the acute neurology clinic. Study done at Princess Royal University Hospital, United Kingdom

Articles in Press

Document Type : Brief Report

Authors

1 Princess Royal university Hospital

2 Princess Royal University Hospital

10.22038/psj.2026.94078.1521

Abstract

Abstract

Background:

Documentation of driving advice for patients with suspected seizures is essential for patient safety, medico-legal protection, and compliance with DVLA and GMC guidance. A previous audit at Princess Royal University Hospital revealed significant gaps in documentation practices.

Aim:

To reassess the documentation of driving status, DVLA advice, and duration of driving restrictions in patients presenting with suspected seizures following an educational intervention.

Methods:

A retrospective reaudit was conducted on 100 consecutive patient records from the acute neurology clinic between January and May 2025. Data were compared with the initial audit conducted from February to August 2024. The key variables assessed included documentation of driving status, DVLA advice, and duration of any advised driving restriction.

Results:

Documentation improved significantly following intervention. Driving status was documented in 93% of cases (up from 65%), and DVLA advice was recorded in 93% (up from 65%). The duration of driving restriction was included in 49% of relevant cases (up from 8%).

Conclusion:

Educational intervention improved documentation of DVLA advice in patients with suspected seizures. However, documentation of restriction duration remains suboptimal. Further improvement may be achieved through system-level changes such as electronic prompts or documentation templates. Continued audit cycles are recommended.

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Main Subjects

Journal of Patient Safety & Quality Improvement

Articles in Press, Accepted Manuscript
Available Online from 06 June 2026

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