Team-Based Approach in Hypertension Management: A Quality Improvement Project
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Published on: January 15, 2017
1MIT Medical, Cambridge, Massachusetts.
Background/Local Problem:
Hypertension is a major risk factor for heart diseases and stroke among Americans; only 25% have this under control nationwide.
Methods:
This quality improvement project evaluated the outcomes of team-based care in hypertension control by registered nurses and certified nurse practitioners in a primary care setting. Pre/post-data analysis of blood pressure (BP) control, and BP knowledge, was done.
Intervention:
The team provided education and counseling based on knowledge assessment during visits and used unattended automated blood pressure measurement (uAOBPM) techniques to measure BP.
Results:
There was a significant reduction in systolic and diastolic BP control ( P < .001). There was a statistically significant increase in disease knowledge score pre- and postintervention ( P < .001).
Conclusion:
The team-based care approach improved patients' BP control and knowledge of the disease. The uAOBPM technique could be incorporated into clinical settings for accurate BP measurements.
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