Methods After training and attendance at the RCPCH Epilepsy Quality Improvement Programme (EQIP), a driver diagram, fishbone analysis, 5-whys methodology and patient questionnaire were used to understand the patient pathway. An EEG leaflet explaining the procedure is already sent to patients. However, it was noted that there was little information or avenue for families to ask questions or to allay fears and anxieties before attending. This highlighted the need for improved preparation in addition to the standard EEG leaflet before arrival to the hospital.A Model for Improvement with 4 PDSA (Plan, Do, Study, Act) cycles was employed to test change. Patient families were contacted several days before the EEG to discuss needs, anxieties and ways of working that might improve the experience and thereby the quality of the EEG recording eg room layout, staff in uniform, toys, Wifi availability etc.The later PDSA cycles highlighted logistical problems in telephoning all paediatric patients. Therefore, an addendum to the patient leaflet was sent to the patient. This signposted useful online material and other resources. Department photographs were also available on request. Results An improvement was seen in the number of quality EEGs recorded. The percentage of paediatric patients with full quality EEGs was seen to be consistently above 95% after introduction of the telephone call and leaflet addendum. No EEG recordings were abandoned. Very favourable feedback was gained from families about increased flexibility to tailor the EEG investigation. The Covid-19 pandemic unfortunately affected EEG wait times.This was a multidisciplinary quality improvement project resulting in rewarding, collaborative links to enable future dialogue and multidisciplinary working. Conclusions Quality of EEG recordings was improved by increased communication between families before appointment, either by discussion over the phone or
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