Excellence in AF – Oxford AHSN


A collaborative project that utilised clinical audit and review by specialist pharmacists to identify patients with AF who were at a high risk of stroke and who were not prescribed optimal anticoagulation therapy. Practices also carried out quality improvement activities to embed learning and make sustainable improvements to the management of their AF patients.


  • 266 patients had anticoagulation commenced.
  • 260 patients had their anticoagulation optimised.
  • Projected stroke incidence has reduced by up to 17 strokes with a resultant reduction in stroke-related morbidity and mortality.
  • In-year cost avoidance from AF-related stroke estimated to be £226,000.



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