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C.7 Design and implementation of individualized Acute Seizure Action Plans (ASAP): a quality improvement study

Published online by Cambridge University Press:  10 July 2025

M Hopkins
Affiliation:
(Ottawa)*
V Dimitrova
Affiliation:
(Ottawa)
F Kazoun
Affiliation:
(Ottawa)
R Webster
Affiliation:
(Ottawa)
W Alqurashi
Affiliation:
(Ottawa)
D Pohl
Affiliation:
(Ottawa)
S Buttle
Affiliation:
(Ottawa)
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Abstract

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Background: Epilepsy affects approximately 3% of Canadian children. Despite the availability of standardized seizure abortion guidelines, many patients require personalized treatment plans due to genetic factors, medical contraindications, or a history of adverse medication reactions. This study aims to create and evaluate personalized Acute Seizure Action Plans (ASAPs) for epilepsy patients at the Children’s Hospital of Eastern Ontario (CHEO). Methods: Using a Plan-Do-Check-Act (PDCA) framework, we developed electronic ASAPs for integration into participants’ electronic medical records. The effectiveness and user satisfaction of these ASAPs will be evaluated through electronic surveys administered to Neurology physicians, Emergency Department (ED) physicians, and patient participants at baseline and six months post-implementation. Results: Baseline surveys were administered to ED physicians with a 70% response rate, indicating only 43% satisfaction with current generic seizure treatment practice. One hundred percent of respondents expressed interest in using an ASAP, citing challenges in selecting the appropriate anti-seizure medications and determining when to adjust treatment as priorities. These findings underscore the need for ASAP implementation. Conclusions: ED providers desire improved seizure action plans. ASAP implementation is expected to enhance emergency seizure management, reduce adverse events among epilepsy patients, and increase satisfaction of seizure management among all participants.

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Type
Abstracts
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Canadian Neurological Sciences Federation