P.068 Quality improvement in Infantile Spasms through standardization: a tertiary-care centre retrospective chart review implementation study

Background: Infantile Spasms (IS) is a rare epilepsy syndrome with characteristic features, and strong consensus regarding treatment strategies. Clinical care pathways provide standardized evidence-based patient care, support quality improve outcomes. Standardized electronic notes may data collection quality. After the concurrent implementation of an IS pathway note at Alberta Children’s Hospital in 2015, improvements outcomes were anticipated. Methods: A single-centre, retrospective chart review patients diagnosed spasms Alberta, Canada from 2011-2019 was completed. Patient characteristics analyzed by pre-pathway post-pathway status. Results: Rates 3-month spasm remission, remission without relapse did not significantly differ between pre- cohorts. 2-week obtainable significant proportion records when compared to group, indicating record improved following implementation. received Prednisolone as their first for (p<0.001). Conclusions: single-centre experience demonstrated no changes Potential are identified.