Atrial Fibrillation (AF)

and the ‘ABC’ protocol for managing AF

Why focus on Atrial Fibrillation? 

AF commonly causes the formation of blood clots, which increases the risk of stroke by 5 times. There are, on average, 40 AF-related strokes every day in England.

Anticoagulation is an effective therapy for managing people with AF who are at risk of stroke, and can reduce the risk of stroke by up to 66%. However, many people with AF are not on anticoagulants, meaning they are getting no treatment at all or are on ineffective treatment, such as aspirin, for AF.

Atrial Fibrillation Quality Improvement (AFQI) Toolkit

AFQI Toolkit is a free QI tool developed by Health Innovation North West Coast in partnership with Cheshire and Merseyside GPs and pharmacists, that interrogates clinical systems (EMIS and TPP) to provide a QI dashboard that links to patient records. Using this tool together with a supported QI approach will sustainably improve the care of patients with AF.

Using the AFQI Toolkit supports NHSE CVD targets and aims to look at reducing strokes by focusing on improvements to identification and management of Atrial Fibrillation (AF):

  • Improve the identification of those at risk of atrial fibrillation, in line with NICE guideline NG196, through opportunistic pulse checks alongside blood pressure checks undertaken in a clinical setting (Source)

The toolkit consists of components including a practice-based dashboard which risk-stratifies named AF patients based on treatment received. It also identifies patients with possible AF. The dashboard comprises of reports to export the data required and a spreadsheet that provides the analysis and worklists identified for your patients.

The AFQI Toolkit (zip file) can be downloaded via the QI Portal.