Table 2. List of QSs in HF management in National Institute for Health and Care Excellence68),72) .
Chronic HF | Acute HF |
---|---|
QS1. Diagnosis by a specialist | QS1. Single measurement of natriuretic peptide |
QS2. Urgent specialist assessment within 2 weeks | QS2. Transthoracic Doppler 2D echocardiography within 48 hours of admission |
QS3. Medication for HFrEF | QS3. Organization of care – early specialist input within 24 hours of admission |
QS4. Review after changes in medication | QS4. Starting or continuing beta-blocker treatment |
QS5. Review of people with stable chronic HF | QS5. Starting or continuing angiotensin-converting enzyme inhibitor and an aldosterone antagonist |
QS6. Program of cardiac rehabilitation | QS6. Follow-up clinical assessment within 2 weeks of hospital discharge |
QS7. Options for cardiac rehabilitation (out of hospital) |
HF = heart failure; HFrEF, heart failure with reduced ejection fraction; QS = quality statement.