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    Epilepsy audit: do we document everything?

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    Authors
    Iqbal, M
    Bilal, S
    Sarwar, S
    Murphy, R P
    Affiliation
    Department of Neurology, Adelaide and Meath Hospital, Tallaght, Dublin-24,, Ireland. mudassir213@hotmail.com
    Issue Date
    2012-02-01T10:49:50Z
    MeSH
    Adolescent
    Adult
    Aged
    Documentation
    Emergency Service, Hospital/standards
    Epilepsy/*diagnosis/*therapy
    Female
    Hospitals, Teaching/standards
    Humans
    Ireland
    Magnetic Resonance Imaging
    Male
    Medical Audit
    Medical History Taking/*standards
    Middle Aged
    Referral and Consultation
    Retrospective Studies
    Tomography, X-Ray Computed
    Young Adult
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    Citation
    Ir J Med Sci. 2011 Mar;180(1):31-5. Epub 2010 Aug 3.
    Journal
    Irish journal of medical science
    URI
    http://hdl.handle.net/10147/207910
    DOI
    10.1007/s11845-010-0542-y
    PubMed ID
    20680701
    Abstract
    BACKGROUND: An audit of the hospital notes and letters of patients with epilepsy sent to general practitioners was undertaken. AIMS: (a) To examine the frequency of important omissions in history taking and role of precipitants in seizure control, (b) to determine whether appropriate investigations had been performed and their results, (c) to assess whether letters sent to GPs contain all the appropriate information and advice, and to evaluate the waiting time for out-patient clinics and investigations. METHODS: This retrospective study was conducted in a teaching hospital setting. A computerised search of the clinical database of a consultant neurologist was performed on patients with epilepsy. The notes of the first 100 names selected randomly by the computer were analysed. The study period was during the years 1998-2005. Age range was from 17-72 years. The male:female ratio was 1:1. CONCLUSION: Major deficiencies in documentation were identified in this study.
    Language
    eng
    ISSN
    1863-4362 (Electronic)
    0021-1265 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1007/s11845-010-0542-y
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    Tallaght University Hospital

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