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An audit: fitness to drive assessment in inpatients of general adult and old age psychiatry

Published online by Cambridge University Press:  18 June 2021

Ismail Khan ,
Nneamaka Asiodu ,
Dr Divyanish ,
Anum Yaqoob  and
Hasanain Qureshi
Ismail Khan*
Affiliation:
Bloxwich Hospital
Nneamaka Asiodu
Affiliation:
Bushey Fields Hospital
Dr Divyanish
Affiliation:
Heath Lane hospital
Anum Yaqoob
Affiliation:
Dorothy Pattison Hospital
Hasanain Qureshi
Affiliation:
Dorothy Pattison Hospital
*
*corresponding author.
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Abstract

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Aims

To determine if fitness to drive is assessed on admission and discharge, if applicable, and for this to be documented during clerking and on discharge notifications.

To determine if patients are being educated about the impact of their condition on the ability to safely drive.

To ascertain if patients are aware of the duty to inform the DVLA if they for any reason are not fit to drive.

Background

Risk factors include social, behavior and iatrogenic factors such as social withdrawal, increased likelihood of substance abuse and side effects of anti-psychotic medication.

Method

This trust wide audit involved the random sampling of a total of 71 case notes, 4 case notes per Consultant team in general adult psychiatry and old age psychiatry across Dudley and Walsall sites (total of 3 sites). A data collection tool was developed and included relevant questions regarding fitness to drive. Data were collected between October and December 2019.

Result

18/49 patients had physical health screening prior to medication initiation.

Conclusion

An important aspect of good medical practice is to educate patients about their condition, this includes their fitness to drive as this can be affected both by their diagnosis and medication. It is clear that clinicians also need to be educated about this responsibility to ensure assessment is performed especially on inpatient discharge.

Type
Quality Improvement
Information
BJPsych Open , Volume 7 , Supplement S1: Abstracts of the RCPsych Virtual International Congress 2021, 21–24 June , June 2021 , pp. S200 - S201
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (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.
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists
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