The use of a cognitive battery to predict who will fail an on-road driving test.

Objectives: There is a growing need to find a valid and reliable neuropsychological battery to screen out those people who are clearly unsafe to drive following brain injury or pathology, and thus alleviate the need to refer for an on-road assessment.

Design: A battery of cognitive tests fine-tuned for their relevance to driving was examined in terms of its sensitivity and specificity for predicting who would fail an on-road test following brain injury or pathology.

Method: Performance on the battery was compared to the results of an on-road driving test in a consecutive series of 142 clients referred to a driving assessment centre following brain injury or pathology.