Audit cycle 3
Summary
A joint meeting between BSCN and ANS was held on 3rd November 2016 at Queen Elizabeth Hospital in Birmingham, with 140 delegates attending. Links to all of the powerpoint presentations and posters can be found below.
The programme centred on sessions on NEAD and IONM. National standards for EEG investigation of NEAD were presented and have now been published.
The IONM session resulted in some suggestions for amendments to the national standards. Departments may obtain their individual results on application from Helen Grover helen.grover @nnuh.nhs.uk
2 talks on how to embark on the IQIPS process were given: the first from the departmental point of view and the second from the assessor’s angle.
A poster competition was held during the lunch break with 2 prizes awarded, one judged by Nick Kane for the BSCN, Kelly StPierre for the ANS and Santi Catania for the national audit group, the other by the delegates. The two winners were Bryony Carr and Andrew Lawley respectively. All posters were of a very high standard and were very varied in subject matter.
The last presentation was of the results of the on-line survey assessing whether the national audit projects and ensuing standards were considered helpful (they were!).
The meeting concluded with a discussion about suitable topics for the following round of projects out of which the following were selected:
Muscle selection for EMG in MND (Dr N Khalil London)
Sleep deprivation EEGs (Dr Andrew Lawley Birmingham)
Ambulatory EEG and Home VT (Dr Munni Ray Leeds)
The next joint national audit conference will take place in Autumn 2018
Programme
Welcome (Ros Kandler/Catherine Pang)
Diagnosis of NEAD (Markus Reuber)
Standards for EEG examination for NEAD
Review of literature (Kim Whitehead)
Results of UK survey (Ming Lai)
Results of UK service evaluation (Sarah Lawrence/Ros Kandler)
IQIPS: How to do it
Departmental view (Martyn Thompson)
Standards for IONM
Review of literature and background (Peter Walsh)
Results of UK survey (Brett Sanders)
Results of UK audit (Helen Grover)
Are the BSCN/ANS standards helpful? (Jeff Holman)
Speakers
Ros Kandler - Consultant clinical neurophysioloist, Royal Hallamshire Hospital, Sheffield
Catherine Pang - Highly specialised clinical physiologist, Queen Elizabeth Hospital Birmingham
Markus Reuber - Professor of neurology, Universtiy of Sheffield
Kim Whitehead - Research clinical physiologist, University College Hospital, London
Ming Lai - Consultant clinical neurophysiologist, Royal Victoria Infirmary, Newcastle
Sarah Lawrence - Highly specialised clinical physiologist, Royal Hallamshire Hospital, Sheffield
Martyn Thompson - Highly specialised clinical physiologist, Leeds General Infirmary
Sara Callen - IQIPS technical assessor, UK Accreditation Service
Santi Catania - Consultant clinical neurophysiologist, National Hospital, London
Peter Walsh - Professional service manager, Southmead Hospital, Bristol
Brett Sanders - Highly specilised clinical physiologist, National Hospital, London
Helen Grover - Professional service manager, Norfolk and Norwich Hospital, Norwich
Colin Shirley - Consultant clinical neurophysiologist, Queen Elizabeth Hospital, Birmingham
Jeff Holman, Clinical physiologist, Queen Alexandra Hospital, Portsmouth
Posters
Ictal SPECT: A Service Evaluation
Service evaluation of Somatosensory Evoked potential (SSEP) recoding in the West Midlands (Prize winner)
An Evaluation of Three Hour EEG Recordings in Neurophysiology
Interobserver variation when interpreting prognostic SSEPs: Do we agree when a response is absent
An audit eveluating the utility of ambulatory EEG monitoring
A Retrospective Review of EEG Pattern and Outcome in Post Cardiac Arrest Patients
Publications
Optimising the use of EEG in non-epileptic attack disorder: results of a UK national service evaluation. Kandler R, Lawrence S,Pang C, Lai M, Whitehead K; 2018 Seizure 55;57-65
Results of a national survey and audit on intra-operative neurophysiological monitoring during corrective spinal deformity surgery. Grover H, Walsh P, Sanders B, Shirley C; 2017 Journal of the Association of Neurophysiological Scientists: 2; 74-82