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

Document Type : Brief Report

Authors

Department of Neurology, Princess Royal University Hospital, United Kingdom.

10.22038/psj.2026.94078.1521

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.
 
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%).
 
Conclusions:
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.

Keywords

Main Subjects

References

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Journal of Patient Safety & Quality Improvement
Volume 14, Issue 3
July 2026
Pages 165-168

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