Aims and Objectives This study investigated adherence to driving advice guidelines following Transient Ischemic Attack (TIA) incidents through a retrospective observational audit. Findings revealed inconsistent documentation and recommendations for driving cessation, highlighting safety concerns and making the study important. To fix the lack of documentation issue, an additional section in the TIA referral form concerning documentation status and cessation advice was added. Significant variations in inquiry and recommendations among providers underscored the need for standardized protocols. A proposed Quality Improvement (QI) plan aims to integrate driving status inquiry into E-med and provide educational support. These results emphasize the necessity for refining protocols to ensure consistent and appropriate guidance for TIA patients regarding driving fitness, prioritizing safety and adherence to guidelines.

Method and Design This retrospective observational audit assessed fitness-to-drive advice post-Transient Ischemic Attack (TIA). Twenty randomly selected Emergency Department (ED) patients with TIA scores of 4 or less were studied, reflecting diverse gender (40% female, 60% male) and age (45-92 years, mean 70.35). Data were collected from ED medical notes between January-August 2023, excluding patients with ABCD2 scores of 5 and above. Ethical guidelines were followed, ensuring patient confidentiality, and approval was obtained. Data analysis employed a Clinical Audit Tool, evaluating Knowledge, Attitude, and Practice via questionnaire, with results depicted in pie charts.

Results and Conclusion Analysis of medical records unveiled patterns in driving advice practices for TIA patients. Documentation of Driving Status: 17.39% of providers inquire about and document driving status, while 13.04% inquire but fail to document it. Recommendations: For Group 1 license holders, 52.17% advise cessation, with varying durations. For Group 2, 52.17% recommend cessation, with 66.6% advising a 12-week period. Overall, 25% provided correct recommendations for Group 1 and 66.6% for Group 2. These results underscore diverse healthcare practices requiring further exploration for post-TIA patient care refinement.