Can district-wide audits improve primary care epilepsy management? An audit of seizure frequency recording.
A district-wide epilepsy audit in general practice showed that levels of seizure frequency recording were too low to evaluate the quality of control of epilepsy. A repeat audit after multi-faceted interventions showed an improvement in seizure frequency recording of 13.2% (CI = 8.9 to 17.6) from 54.7% to 68%. This illustrates the difficulties of evaluating quality of care using routine records and the problems of implementing changes in general practice.
Hodgson
J
J
jim.hodgson@talk21.com
Beardmore
G
G
Hall
W W
WW
D019468:Disease Management; D004827:Epilepsy / Q000628:therapy*; D006801:Humans; D008485:Medical Audit; D008499:Medical Records / Q000592:standards; D011320:Primary Health Care / Q000592:standards*; D011787:Quality of Health Care; D012720:Severity of Illness Index