An audit of paediatric epilepsy care
Department of
Paediatric Neurology, Southampton General Hospital, Tremona Road,
Southampton SO9 4XY, UK
Correspondence to: Dr Kennedy.
Accepted 20 January 1998
Basic standards for the process of paediatric epilepsy care
were identified and applied in a clinical audit; findings were presented and the audit repeated. Standards agreed related to quality
of correspondence, prescribing practice, appropriateness of drug
monitoring, use of neuroimaging, and quality of requests for
electroencephalography (EEG). Parent satisfaction with staff courtesy,
doctor communication, and clinic visits were also assessed. In the
second audit prescribing practice and appropriateness of drug
monitoring had improved, but quality of patient correspondence and
requests for EEG were unchanged. In both periods of care many parents
were dissatisfied with the quality and amount of information provided
about epilepsy. Standards of care for the medical management of
children with epilepsy can be agreed and used to identify achievable improvements in that care.
© 1998 by Archives of Disease in Childhood
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