%0 Journal Article %A Clare Oliver %A Lliwen Jones %A Ronak Ved %A Glenn Brimble %A Khalid Hamandi %T THREE YEARS OF CHANGES IN VIDEO-EEG TELEMETRY SURVEILLANCE %D 2016 %R 10.1136/jnnp-2016-315106.83 %J Journal of Neurology, Neurosurgery & Psychiatry %P e1-e1 %V 87 %N 12 %X Introduction Long-term video-EEG monitoring aids epilepsy management. Anti-epileptic drug reduction is often performed to increase event capture. Patient safety is paramount given the risk of injury or fatality. We completed 3 audit cycles of response times to seizures in our unit.Methods ▸ First audit cycle (2012) – ten patients, 15 events – unit used for diagnosis only▸ Epilepsy surgery business case approved (July 2013) – additional healthcare professional (HCP) employed to observe patient and room layout modified. Drug reduction regimens implemented.▸ Second cycle (2014) - five patients, 24 events▸ Third cycle (2014–15) – 33 patients, 117 eventsResults Cycle 1: HCP responded to 9 of 14 clinically identifiable events (64%). Median 47 s, mean 317 s (range 18 s–28 minutes). No assessment of cognition.Cycle 2: Response to 19 of 20 clinical events (95%). Median 12 s, mean 25 s (range 0–106 s). Orientation (6/24), motor task (3/24), and speech (2/24) assessed. Recall not assessed.Cycle 3: Response to 104 of 106 clinical events (98%). Median 10 s, mean 35 s (range 0–150 s). Orientation (57/117), motor task (21/117), speech (90/117) and recall (33/117) assessed.Conclusions Each cycle shows improved HCP response. Education and proforma introduction has improved interaction between HCPs and patients but ongoing improvements are needed. %U https://jnnp.bmj.com/content/jnnp/87/12/e1.222.full.pdf