Journal of Pediatric Epilepsy
DOI: 10.1055/s-0040-1715461
Original Article

Continued Gap in Seizure Frequency Documentation

Andrea Debs
1  Department of Neurology and Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, United States
,
Sravya Gedela
1  Department of Neurology and Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, United States
,
Anup D. Patel
2  Department of Neurology and Pediatrics, Ohio State University Medical Center, Nationwide Children's Hospital, Columbus, Ohio, United States
› Author Affiliations
FundingNone.

Abstract

Proper documentation during neurology clinic visits is essential. Medical providers that document precise and standardized findings aid other providers, nurses, and research personnel. The American Academy of Neurology (AAN) created standardized quality measures in order to improve delivery of care for patients with epilepsy, providers, and systems. We reviewed a total of 777 charts in order to find documentation on seizure frequency from the most recent clinical visit. Data was collected from electronic healthcare records. During initial chart review, the following information was noted: age, gender, seizure type(s), etiology type(s), provider (neurologist or epileptologist), whether seizure frequency was noted, and the reason for no documentation. The data review represented a sample of the epilepsy population seen at our institution. Of the 734 individuals, 475 patients had seizure frequency documented (65%). Two hundred and fifty-nine (259) people (35%) were missing seizure frequency data. For those individuals, we determined the reasoning behind why this data was not present in the chart note. Of those 259 charts, there were 65 (25%) charts missing seizure frequency, 161 (62%) charts that were vague, and 33 (13%) charts where seizure frequency could not be determined. Based on our findings, the documentation of seizure frequency is a gap in care.

Data Availability Statement

Anonymized data will be shared by request from any qualified investigator.




Publication History

Received: 28 April 2020

Accepted: 06 July 2020

Publication Date:
31 August 2020 (online)

Georg Thieme Verlag KG
Stuttgart · New York