Atrial fibrillation Reducing The Risk of Stroke Bjrn Fredriksson - PowerPoint PPT Presentation

Atrial fibrillation Reducing The Risk of Stroke Björn Fredriksson Arrhythmia Process Cardiologist Department of Medicine International forum on quality and safety in healthcare Södra Älvsborgs Sjukhus

Atrial fibrillation 30% of all stroke – associated with atrial fibrillation. Causes worse functional incapacity and have a higher mortality – compared to other strokes. Anticoagulants leads to 65% reduction in stroke Södra Älvsborgs Sjukhus

Challenges • Few patients were treated with anticoagulants. • Patients with atrial fibrillations are everywhere – not only in the cardiology department. • Doctors have different opinions about who should get anticoagulants. Södra Älvsborgs Sjukhus

What is the Standard care formula Patient information patients need? Updating: Heart handbook What have we Administrative Medial hype support done? Check lists, Mequal, Teaching Simple referring • Patients Measurements – • Nurses what is important? Out patient • Doctors department Södra Älvsborgs Sjukhus

Interviews with patients Patient information can be improved Unclear where to contact regarding problems with atrial fibrillation Södra Älvsborgs Sjukhus

Heart Hand Book Simple message: Count the riskscore for stroke: Treat if score is 1 or above Standard care list Södra Älvsborgs Sjukhus

Patient information One of the most important things we have done. Södra Älvsborgs Sjukhus

Outpatients with atrial fibrillation. 2015: 81% treated with anticoagulants Södra Älvsborgs Sjukhus

Patients in ward departments with atrial fibrillation: 2015: 76% treated with anticoagulants. Södra Älvsborgs Sjukhus