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

atrial fibrillation reducing the risk of stroke
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Atrial fibrillation Reducing The Risk of Stroke Bjrn Fredriksson - - PowerPoint PPT Presentation

Atrial fibrillation Reducing The Risk of Stroke Bjrn Fredriksson Arrhythmia Process Cardiologist Department of Medicine International forum on quality and safety in healthcare Sdra lvsborgs Sjukhus Atrial fibrillation 30% of all


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Södra Älvsborgs Sjukhus

Atrial fibrillation Reducing The Risk of Stroke

Björn Fredriksson Arrhythmia Process Cardiologist Department of Medicine

International forum on quality and safety in healthcare

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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

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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.

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SLIDE 4

Södra Älvsborgs Sjukhus

What is the patients need? Patient information

Standard care formula Updating: Heart handbook Administrative support Check lists, Mequal, Simple referring Out patient department Teaching

  • Patients
  • Nurses
  • Doctors

Medial hype Measurements – what is important?

What have we done?

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Södra Älvsborgs Sjukhus

Interviews with patients

Patient information can be improved Unclear where to contact regarding problems with atrial fibrillation

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SLIDE 6

Södra Älvsborgs Sjukhus

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

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SLIDE 7

Södra Älvsborgs Sjukhus

Patient information

One of the most important things we have done.

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SLIDE 8

Södra Älvsborgs Sjukhus

Outpatients with atrial fibrillation. 2015: 81% treated with anticoagulants

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SLIDE 9

Södra Älvsborgs Sjukhus

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