Atrial Fibrillation (AF) Guide for SystmOne

• You can access the AF template via one of 3 ways:
  • Template Master button  at the top left of window
  • Search bar at the bottom left of window
  • Patient status icon (if applicable to your patient)   just below the patient demographics area.

• The left-hand column is for adding information and also links to other relevant templates and clinical scoring systems.
• The middle column shows a summary of patient-specific information pertinent to management.

1. The Atrial Fibrillation Overview button opens a template which prompts the recording of key information about overall management.
2. The CHADSVasc & HASBLED templates enable rapid recording of these clinical scores. Relevant information is automatically pulled from the patient’s records (dependant on accurate coding):

Get in touch

If you have any questions regarding access, or the use of the CDRC Precision tools, please get in touch: contact-CDRC@ahsn-nenc.org.uk

4. The anticoagulant templates facilitate safe prescribing and monitoring of each of the main DOACs and Warfarin. 5. The remaining tabs show up-to-date investigation, referral and exception-reporting information.

Searches can be carried out to identify patients who may require changes to their management:

First navigate to the clinical reporting unit. The searches are located within the “Cardiac” folder of the “DCS Quality” section:

To identify the patients for that particular search, Right-click on the search, click “Run”, after the search is complete, click “Show Patients”.

We feel that the above two searches are very important for practices to run. We recommend that they are performed on a monthly basis via batch reporting:

You can also schedule any search to run automatically at set intervals. The results of the searches can be sent via task to any member of your team to action. This can be achieved via the “Batch Reporting” function:

The anticoagulant templates facilitate safe prescribing of each of the main DOAC’s and Warfarin via the following:

• Up – to – date prescribing information is embedded in the templates
• The ‘Anti-coagulation details’ template prompts those prescribing to be clear on key points around anti-coagulation initiation.

• The Cockroft-Gault calculator facilitates safe dose-adjustment.

• Warfarin-specific prescribing prompts are located within the warfarin tab which includes a time in therapeutic range calculator and poor INR control guidance.

• Safety protocols for each anticoagulant guide those prescribing through a series of questions to ensure that the patient is on a safe dose and that appropriate monitoring has been completed:

• Safety searches can be run to identify patients who may require changes to their management. i. First navigate to the clinical reporting unit. The searches are found within the Haematology section of the DCS Quality folder:

ii. The specific searches area as follows. Note: each search begins with “?” – the other searches are internal ones to enable the templates to work.