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Related Concept Videos

Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
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Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
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Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
Assessment of blood pressure in brachial artery(one-step method)01:15

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This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:

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Related Experiment Videos

Using the general practice EMR for improving blood pressure medication adherence.

Jim Warren1, John Kennelly, Debra Warren

  • 1National Institute for Health Innovation, University of Auckland, New Zealand.

Studies in Health Technology and Informatics
|July 17, 2012
PubMed
Summary

This study shows that systematic follow-up using electronic medical records (EMRs) significantly improved antihypertensive medication adherence in a Pacific-led general practice. The intervention demonstrated a positive impact on medication possession ratio (MPR) for patients with hypertension.

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Area of Science:

  • Public Health
  • General Practice
  • Health Informatics

Background:

  • Analysis of electronic medical records (EMRs) in a Pacific-led general practice revealed significant issues with antihypertensive medication adherence among a predominantly Pacific (Samoan) population.
  • Medication adherence was measured using the medication possession ratio (MPR), indicating the percentage of days covered by medication supply.

Purpose of the Study:

  • To evaluate the effectiveness of general practice staff follow-up, guided by EMR data, in improving medication adherence for patients with hypertension.
  • To identify patients with suboptimal long-term condition management using the ChronoMedIt tool applied to EMR data.

Main Methods:

  • The ChronoMedIt tool was used to identify patients with an MPR below 80% for antihypertensive medication in two Pacific-led general practices.
  • One practice implemented an intervention involving a dedicated team providing reminders and support for 12 months, while the other served as a control.
  • Medication possession ratio (MPR) and systolic blood pressure (SBP) were assessed at baseline and during the intervention period using EMR and national claims data.

Main Results:

  • In the intervention group, MPR improved by 12.0% (p=0.0002) and SBP decreased by 3.5mmHg (p=0.07) compared to the control group.
  • National claims data corroborated the MPR improvement, showing an 11.5% increase (p=0.0001) in the intervention group.
  • Patients found the follow-up approach caring and useful, while providers deemed it effective but requiring dedicated staffing.

Conclusions:

  • Systematic EMR-guided follow-up is effective in improving antihypertensive medication possession in Pacific-led general practices serving Pacific communities.
  • The ChronoMedIt tool successfully identified patients with low medication possession, leading to significant improvements.
  • While the impact on SBP was marginally significant, the intervention was feasible, well-accepted by patients, and is being extended to other chronic conditions.