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Background: During hospital admission, it was noticed that most patients with atrial fibrillation (new orold) diagnosis have no clear documented plan about anticoagulation. It was considered a significant risk forpatient safety.Aim: To determine whether patients with atrial fibrillation diagnosis were on anticoagulation or not, if nothave the reasons been documented in the medical notes. If new-onset atrial fibrillation whether CHADSVASC and HASBLED scores have been used or not for anticoagulation purpose.Settings: County Hospital Stafford &amp; Royal Stoke University Hospital (UHNM 2015-2017).Materials and Methods: Prospective audit, a total of 100 patient's data (50 patients per cycle) wereanalysed by using specific audit Performa based upon NICE Atrial Fibrillation 2014 Guidelines [1].Statistical Analysis: Data was coded, entered in an excel spreadsheet and analysed by translating intopercentages and proportions.Results: Initial audit showed that out of 50 patients with atrial fibrillation diagnosis, 30 were already onanticoagulation and 20 were not on anticoagulation. Only 2 out of 20 were assessed for anticoagulation and18 were not assessed. AF Performa was introduced in the clerking sheet post initial audit. Re-audit after 6months showed 43 out of 50 patients were on anticoagulation and 7 were not. Out of these 7 patients, 3patients had absolute contraindications (Subdural Haematoma, Rectal bleeding and major haematoma), 2patients were assessed for anticoagulation however were not followed up and 2 were not assessed. Resultscomparison is explained in (Table 1).Conclusions: This audit has demonstrated significant improvement in overall anticoagulation rates insuitable patients which have helped in improving patient safety.

An Audit on "Atrial Fibrillation & Anti-Coagulation" at University Hospitals of North Midlands NHS Trust (2015-2017)