The Effects of Protocol Change and Blood Pressure Control
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Brittany Scott (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
- Advisor
- Autumn Henson
Abstract: Background: Hypertension is a disease that is responsible for the contribution of many fatal comorbidities. It is imperative for providers to be able to diagnose and treat hypertension accurately in a timely manner. Improper practice of obtaining blood pressure readings may negatively affect treatment and management of hypertension; and this is why it is vital to adhere to clinical guidelines.Purpose: The purpose of this project was to improve blood pressures techniques in a medium sized primary care office, located in a suburban area.Methods: The clinical staff of this local North Carolina primary care office were instructed to obtain vital signs while adhering to components of the American Heart Association and the Eighth Joint National Committee guidelines. Clinical staff were instructed to demonstrate adherence by abiding by a newly implemented protocol change. This protocol change includes allowing the patient to rest for an allotted time before obtaining blood pressure, proper patient positioning, proper cuff placement, and remeasuring the patient’s blood pressure, if applicable. Results: Before implementation of the protocol change, the quality metric score for blood pressure control was 65.4%, which represents the average score for blood pressure control between all five providers. The provider’s quality metric scores for blood pressure control averaged 61.6% post-implementation.Conclusion: This implementation revealed that there are many factors that influence the improvement of quality metric scores.
The Effects of Protocol Change and Blood Pressure Control
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Created on 2/20/2023
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Additional Information
- Publication
- Dissertation
- Language: English
- Date: 2023
- Keywords
- hypertension, hypertension guidelines, cuff placement, white coat syndrome, burnout