Quality standard
List of quality statements
List of quality statements
Statement 1 Adults with non‑valvular atrial fibrillation and a CHA2DS2-VASC stroke risk score of 2 or above are offered anticoagulation.
Statement 2 Adults with atrial fibrillation are not prescribed aspirin as monotherapy for stroke prevention.
Statement 3 Adults with atrial fibrillation who are prescribed anticoagulation discuss the options with their healthcare professional at least once a year.
Statement 4 Adults with atrial fibrillation taking a vitamin K antagonist who have poor anticoagulation control have their anticoagulation reassessed.
Statement 5 Adults with atrial fibrillation whose treatment fails to control their symptoms are referred for specialised management within 4 weeks.
Statement 6 (developmental) Adults with atrial fibrillation on long‑term vitamin K antagonist therapy are supported to self‑manage with a coagulometer.
NICE has developed guidance and a quality standard on people's experiences using adult NHS services (see the NICE Pathway on patient experience in adult NHS services).
Other quality standards that should be considered when commissioning or providing atrial fibrillation services include:
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Physical activity: encouraging activity in the community. NICE quality standard 183
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Cardiovascular risk assessment and lipid modification. NICE quality standard 100
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Physical activity: for NHS staff, patients and carers. NICE quality standard 84
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Venous thromboembolism in adults: reducing the risk in hospital. NICE quality standard 3
A full list of NICE quality standards is available from the quality standards topic library.