Developing Systems to Improve Hypertension Monitoring at a Primary Care Clinic

2.50
Hdl Handle:
http://hdl.handle.net/10755/303916
Category:
Full-text
Type:
Presentation
Title:
Developing Systems to Improve Hypertension Monitoring at a Primary Care Clinic
Author(s):
Holsan, Theresa Marie
Lead Author STTI Affiliation:
Alpha Kappa
Author Details:
Theresa Marie Holsan, DNP, RN, FNP-C, tholsanfnp@yahoo.com
Abstract:

Session presented on: Tuesday, July 23, 2013

Scope and Significance

Primary care clinics are responsible for evaluation of patients with hypertension (HTN) and reporting care to effectively treat this disease.' Despite 'recommended guidelines about 59% of the adult 'patients in the United States with HTN are being treated and only 34% of those treated have well-controlled blood pressure (BP).

Specific objectives of the project 'were to: 1. Increase the percentage of adult hypertensive patients with adequately controlled BP(<140/90 mm Hg); 2. Standardize BP techniques by ancillary staff and providers and to improve BP documentation; and 3. Evaluate and accurately use the patient reminder system for follow-up care.

Review of the Literature

A comprehensive review of original studies published in English from all countries beginning 2000 to January 2012 was performed.' Relevant literature was identified through CINAHL, PubMed, and OVID using the search terms hypertension, quality improvement, follow-up, BP methods, and BP control.'

Methods

A pre-post design was used over a 15 month project period.' Multiple plan-do-study-act (PDSA) cycles were initiated and three practice outcomes evaluated.' Descriptive statistics and Pearson Chi-square were used to evaluate the effectiveness of the interventions.

Findings

BP was entered in the vital sign section of the chart 100% and variation in BP measurement was reduced.' Changes to patient follow up resulted in 93% of patients with HTN having a follow-up visit entered into the electronic medical record (EMR).' Adult hypertensive patients with adequately controlled BP improved from 56.8% to 75.3%.'' ?2 (1, N=958) =36.36, p<.0001, v=.195.

Implications for Nursing

A combination of chart review and quality improvement methodology offered a powerful way to improve practice. The interventions provided measurable and sustainable improvements through collective efforts. Communication was strengthened and use of the EMR was augmented. Hypertension is a global health issue, without accurate BP data clinicians cannot make decisions to improve patient outcomes.

Keywords:
hypertension; quality improvement; follow-up
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleDeveloping Systems to Improve Hypertension Monitoring at a Primary Care Clinicen
dc.contributor.authorHolsan, Theresa Marieen
dc.contributor.departmentAlpha Kappaen
dc.author.detailsTheresa Marie Holsan, DNP, RN, FNP-C, tholsanfnp@yahoo.comen
dc.identifier.urihttp://hdl.handle.net/10755/303916-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p>Scope and Significance <p>Primary care clinics are responsible for evaluation of patients with hypertension (HTN) and reporting care to effectively treat this disease.' Despite 'recommended guidelines about 59% of the adult 'patients in the United States with HTN are being treated and only 34% of those treated have well-controlled blood pressure (BP). <p>Specific objectives of the project 'were to: 1. Increase the percentage of adult hypertensive patients with adequately controlled BP(<140/90 mm Hg); 2. Standardize BP techniques by ancillary staff and providers and to improve BP documentation; and 3. Evaluate and accurately use the patient reminder system for follow-up care. <p>Review of the Literature <p>A comprehensive review of original studies published in English from all countries beginning 2000 to January 2012 was performed.' Relevant literature was identified through CINAHL, PubMed, and OVID using the search terms hypertension, quality improvement, follow-up, BP methods, and BP control.' <p>Methods <p>A pre-post design was used over a 15 month project period.' Multiple plan-do-study-act (PDSA) cycles were initiated and three practice outcomes evaluated.' Descriptive statistics and Pearson Chi-square were used to evaluate the effectiveness of the interventions. <p>Findings <p>BP was entered in the vital sign section of the chart 100% and variation in BP measurement was reduced.' Changes to patient follow up resulted in 93% of patients with HTN having a follow-up visit entered into the electronic medical record (EMR).' Adult hypertensive patients with adequately controlled BP improved from 56.8% to 75.3%.'' ?2 (1, N=958) =36.36, p<.0001, v=.195. <p>Implications for Nursing <p>A combination of chart review and quality improvement methodology offered a powerful way to improve practice. The interventions provided measurable and sustainable improvements through collective efforts. Communication was strengthened and use of the EMR was augmented. Hypertension is a global health issue, without accurate BP data clinicians cannot make decisions to improve patient outcomes.en
dc.subjecthypertensionen
dc.subjectquality improvementen
dc.subjectfollow-upen
dc.date.available2013-10-22T20:25:48Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:25:48Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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