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Audit of clinicians' approach to patients' driving status in a dementia day hospital setting

  • Philip Baker (a1) and Tim Rogers (a2)
Abstract
Aims and Method

To examine whether driving is discussed with patients attending a specialist day hospital for dementia and whether appropriate action is taken. Patients' notes were reviewed for evidence of such discussion. A questionnaire was implemented before the audit was repeated 6 months later.

Results

During the first cycle 44 patients' notes were assessed and 38 were assessed on repeat audit. The documentation of discussions regarding driving increased from 23 to 95% of notes following implementation of the questionnaire.

Clinical Implications

By discussing driving status, important legal, insurance and safety issues can be addressed. Routine use of a simple questionnaire dramatically improved the likelihood of such discussion. These findings apply for all conditions requiring Driver and Vehicle Licensing Agency notification.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Alzheimer's Society (2000) Alzheimer's Society Advice Sheet: Driving and Dementia (http://www.alzheimers.org.uk/After_diagnosis/Driving_and_travelling/info_driving.htm).
Carr, D. B. (1997) Motor vehicle crashes and drivers with DAT. Alzheimer Disease and Associated Disorders, 2 (suppl. 1), 3841.
Driver and Vehicle Licensing AGENCY (2004) At a Glance Guide to the Current Medical Standards of Fitness to Drive. Swansea: Department of Transport.
Dubinsky, R. M., Stein, A. C. & Lyons, K. (2000) Practice parameter: risk of driving and Alzheimer's disease (an evidence-based review): report of the quality standards subcommittee of the American Academy of Neurology. Neurology, 54, 22052211.
Trobe, J. D., Waller, P. F., Cookflannagan, C. A., et al (1996) Crashes and violations among drivers with Alzheimer disease. Archives of Neurology, 53, 411416.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Audit of clinicians' approach to patients' driving status in a dementia day hospital setting

  • Philip Baker (a1) and Tim Rogers (a2)
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