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Related Experiment Videos

Hospital sphygmomanometer use: an audit

S L Carney1, A H Gillies, A J Smith

  • 1Faculty of Medicine, University of Newcastle, NSW, Australia.

Journal of Quality in Clinical Practice
|March 1, 1995
PubMed
Summary
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Clinical staff knowledge of sphygmomanometer use is satisfactory, but equipment is often faulty. Many healthcare professionals lack the skills for accurate blood pressure measurement, impacting patient care.

Area of Science:

  • Cardiology
  • Medical Devices
  • Clinical Practice

Background:

  • Accurate blood pressure measurement is crucial for patient care.
  • Previous audits over 20 years show persistent deficiencies in clinical staff's blood pressure measurement skills and sphygmomanometer functionality.
  • A recent audit in the Newcastle area was conducted to assess current standards.

Purpose of the Study:

  • To evaluate the functional status of sphygmomanometers in Newcastle hospitals.
  • To assess the knowledge and technical proficiency of medical and nursing staff in using sphygmomanometers.
  • To identify deficiencies in blood pressure measurement practices.

Main Methods:

  • A survey of 265 medical and nursing staff across five hospitals (3 public, 2 private).

Related Experiment Videos

  • Observation of staff taking blood pressure readings and assessment of their ability to record readings from a videotape.
  • Functional testing of 463 hospital sphygmomanometers.

    • Main Results:

    • Only 58% of evaluated sphygmomanometers were in perfect working order, with significant institutional variation (40-94%).
    • Staff knowledge regarding diastolic blood pressure approximation (Phase V Korotkoff sounds) and cuff size was similar between doctors and nurses.
    • Doctors demonstrated superior accuracy in measuring systolic and diastolic blood pressures from a videotape compared to nurses (P < 0.01).

    Conclusions:

    • The state of repair for sphygmomanometers was generally poor across institutions, with one exception.
    • While staff knowledge and basic usage skills were satisfactory, not all healthcare professionals demonstrated competence in accurate blood pressure measurement.
    • Deficiencies in equipment and practice highlight a need for improved training and maintenance protocols to ensure reliable blood pressure monitoring.