Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

702
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...
702
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

114
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
114
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

5.8K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
5.8K
Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

285
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...
285
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

1.1K
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...
1.1K
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

164
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.
164

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

AngioVac aspiration as a combined diagnostic and therapeutic strategy for an indeterminate right atrial mass in a patient with malignancy.

Radiology case reports·2026
Same author

Training a Nonclinician to Become a Leader in Transdisciplinary Clinical Research: Clinical Observerships.

International journal of clinical biostatistics and biometrics·2026
Same author

Treatment of restless legs syndrome by acupuncture combined with medicine based on pathophysiological mechanism.

Frontiers in medicine·2026
Same author

Longitudinal effects of inpatient music therapy dosage on pain intensity and opioid utilization among patients with hematologic or oncologic conditions: a retrospective cohort study.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer·2026
Same author

Disease-modifying treatment preferences and decision-making in a multiple sclerosis randomized and observational clinical trial (DELIVER-MS).

Multiple sclerosis (Houndmills, Basingstoke, England)·2026
Same author

Effectiveness of Music Therapy on Utilization Outcomes among Surgical Patients with Mental Health Conditions: A Propensity-Score Matched Cohort Study.

Journal of integrative and complementary medicine·2026

Related Experiment Video

Updated: Nov 19, 2025

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
04:37

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension

Published on: June 6, 2025

473

Improving Regional Blood Pressure Control: a Positive Deviance Tiered Intensity Approach.

Shari D Bolen1,2,3,4, Thomas E Love5,6,7,8, Douglas Einstadter5,6,7,8

  • 1Center for Health Care Research and Policy, Population Health Research Institute, Case Western Reserve University at The MetroHealth System, Cleveland, OH, USA. sdb73@case.edu.

Journal of General Internal Medicine
|January 27, 2021
PubMed
Summary

A positive deviance approach improved blood pressure control by 7.6% across diverse health systems. This method accelerated the adoption of best practices, particularly benefiting Hispanic and African American populations.

More Related Videos

A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings
10:45

A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings

Published on: January 22, 2018

7.9K
Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
05:59

Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity

Published on: March 7, 2019

7.0K

Related Experiment Videos

Last Updated: Nov 19, 2025

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
04:37

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension

Published on: June 6, 2025

473
A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings
10:45

A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings

Published on: January 22, 2018

7.9K
Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
05:59

Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity

Published on: March 7, 2019

7.0K

Area of Science:

  • Health Services Research
  • Quality Improvement Science
  • Cardiovascular Disease Prevention

Background:

  • Accelerating the implementation of effective hypertension management interventions is crucial for improving cardiovascular health and reducing health disparities.
  • Real-world translation of evidence-based practices faces significant challenges in diverse healthcare settings.

Purpose of the Study:

  • To evaluate the effectiveness of a positive deviance approach in enhancing blood pressure (BP) control within a regional health improvement collaborative.
  • To determine if disseminating best practices identified through positive deviance can improve hypertension management across varied health systems.

Main Methods:

  • A 5-year quality improvement study (2013-2017) analyzed electronic health record data from adult patients with hypertension (N=114,950 at baseline).
  • A positive deviance strategy involved identifying high-performing clinics and disseminating their best practices (e.g., accurate BP measurement, timely follow-up) through varying implementation intensities (low, moderate, high).
  • Weighted linear models assessed changes in BP control (< 140/90 mmHg) before and after intervention in 35 participating clinics.

Main Results:

  • Overall BP control improved by 7.6% (CI 6.0-9.1), increasing from 67% to 74% between 2013 and 2017.
  • Significant BP control improvements were observed in Medicaid (12.0%), Hispanic (10.5%), and African American (9.0%) patient subgroups.
  • Higher implementation intensity correlated with greater BP control improvements, with the high-intensity group showing a 14.9% increase.

Conclusions:

  • The positive deviance approach effectively accelerates the translation of best practices for hypertension management into diverse healthcare systems within a regional health improvement collaborative.
  • Widespread adoption of this strategy in similar collaboratives could lead to substantial reductions in cardiovascular morbidity and mortality.