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Related Concept Videos

Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

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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...
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Alterations in Blood Pressure01:30

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Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
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Sites for measuring blood pressure01:21

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Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
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Special considerations while measuring blood pressure01:28

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When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
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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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Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
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Qualitative User-Centered Design: Programming Changes in a Self-Management Blood Pressure Application.

Shannon M Canfield1, Abigail J Rolbiecki2, Parijat Ghosh3

  • 1Department of Family and Community Medicine, University of Missouri-Columbia, Columbia, Missouri, United States.

Applied Clinical Informatics
|March 25, 2026
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Summary
This summary is machine-generated.

Qualitative user feedback systematically improved the COACH hypertension management tool. Prioritization using the MoSCoW method ensured high-priority features were implemented, enhancing digital health programming.

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Area of Science:

  • Clinical Informatics
  • Health Services Research
  • Digital Health

Background:

  • Electronic patient-centered clinical decision support tools improve chronic disease self-management.
  • Systematic translation of qualitative user feedback into programming improvements for these tools is understudied.
  • The Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH) is a patient-facing tool for hypertension management.

Purpose of the Study:

  • To describe how end-user feedback informed COACH programming decisions.
  • To detail the operationalization of the MoSCoW (Must have, Should have, Could have, Won't have) method for prioritizing implementation.
  • To present a replicable process for integrating qualitative insights into digital health programming.

Main Methods:

  • Secondary analysis of qualitative data from a preimplementation evaluation of COACH.
  • Data collection used a Consolidated Framework for Implementation Research (CFIR)-informed approach with 70 care team members and 18 patients.
  • Recommendations were translated into programming requirements, prioritized using MoSCoW, and implemented.

Main Results:

  • Seven themes emerged from feedback: timely alerts, messaging, patient motivation, reduced data entry, goal setting, workflow integration, and equity/accessibility.
  • 25 of 35 recommendations were translated into changes, with 12 "Must have," 6 "Should have," and 7 "Could have."
  • 19 high-priority features were completed before the trial launch, including goal setting and structured alerts.

Conclusions:

  • A structured prioritization process effectively integrates qualitative user insights into digital health tool programming.
  • This approach advances implementation-focused clinical informatics.
  • The findings guide future decision-making for integrating patient-generated health data, such as home blood pressure monitoring.