Ensuring accurate BP measurements

Matheson, Emily; Kremer, Michael; Fogg, Louis; Crisanti, Gia

doi:10.1097/01.nurse.0000657040.45768.02

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…Ten articles in the authors' review identified the upper arm as the ideal site for BP measurements. 2,4,[19][20][21][22][23][24][25][26] However, 17 articles in the authors' review made no recommendation regarding a preferred arm. 2,3,[5][6][7][8][9][10][11][12][13]21,[23][24][25][26][27] If the upper arm cannot be used, the patient' s calf, ankle, wrist, or forearm may serve as alternative locations for accurate BP measurements.…”

Section: Literature Reviewmentioning

confidence: 99%

“…2,4,[19][20][21][22][23][24][25][26] However, 17 articles in the authors' review made no recommendation regarding a preferred arm. 2,3,[5][6][7][8][9][10][11][12][13]21,[23][24][25][26][27] If the upper arm cannot be used, the patient' s calf, ankle, wrist, or forearm may serve as alternative locations for accurate BP measurements. 20,21 According to one study, the ankle was perceived as the most comfortable site for measuring NIBP and the calf was the least comfortable site.…”

Section: Literature Reviewmentioning

confidence: 99%

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Exploring the accuracy and precision of BP measurements

Herrera

Siaron

Stutzman

et al. 2021

Nursing

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July l Nursing2021 l 47 DAVID ORCEA/SHUTTERSTOCK HEALTHCARE PROFESSIONALS routinely assess and manage BP across patient populations and healthcare settings. 1 Elevated BP can lead to complications such as myocardial infarction, stroke, heart failure, and renal disease. Hypertension often goes unnoticed until a patient experiences a major medical crisis. Healthcare professionals can help patients with hypertension with patient education and interventions to prevent future complications. 2 Reliable BP monitoring is essential for managing hypertension. This article discusses the literature related to accuracy and precision in BP measurements and explores current practices in clinical settings. Background Accurate and precise BP measurements are crucial to clinical decisionmaking and interventions to prevent complications of hypertension. As such, interobserver variability, or variability in these measurements

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Exploring the accuracy and precision of BP measurements

Herrera

Siaron

Stutzman

et al. 2021

Nursing

View full text Add to dashboard Cite

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Factors Overlooked in Blood Pressure Measurement: The Effect of Back, Feet and Arm Support

TUNCER,

KHORSHİD

2023

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi

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In the guidelines, it is recommended that the patient's back should be supported, that the lower part of the arm should be supported at the heart level, and the feet should be kept flat on the floor. However, the effects of errors stemming from ignoring these recommendations are unknown because the number of studies conducted on this issue is limited. In this study, the authors aimed to investigate the effect of arm, back and feet support on blood pressure values during blood pressure measurement in healthy individuals. In the study, 111 individuals were included. Their mean age was 21,95 ± 1,57 years. Their systolic and diastolic blood pressures were measured using four measurement procedures, three of which were erroneous measurements (feet without support, back without support, and arm without support) and one of which was the standard procedure recommended by the guidelines. Procedures were randomized and the participants' blood pressures were measured three times for each procedure. While the mean systolic values determined with the measurements performed without feet support and back support were higher than were those determined with the standard measurements (t=-4,872, p

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Back to Basics: Improving the Quality of Blood Pressure Measurement

Sailor

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Practice Problem: Hypertension is a leading cause of death and disability worldwide. Blood pressure measurement (BPM) is at the forefront of diagnosing and treating hypertension, however, it is often measured inaccurately. PICOT: The PICOT question that guided this project was: In outpatient adult patients (P), what is the effect of implementing a standardized blood pressure measurement protocol (I) versus standard measurement (C), on the quality of blood pressure measurement (O) within 8 weeks (T)? Evidence: Implementation of a blood pressure measurement protocol has been shown to improve the quality of blood pressure measurement. Intervention: A blood pressure measurement protocol was implemented to improve the quality of blood pressure measurement. Outcome: The intervention improved the quality of blood pressure measurement, complying with the clinical practice guidelines, from a mean of 5 techniques to 9 techniques. Additionally, the number of Primary Care patients with HTN decreased from 37% to 33%, and the number of patients with normal blood pressure increased from 63% to 67%, ultimately improving the Primary care HTN metric from 66% to 71% during this project. Conclusion: The protocol not only improved the quality of the blood pressure measurement, but it also improved the hypertension metric. It is an effective intervention to improve the quality of blood pressure measurement, and the confidence in treating and managing hypertension.

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Ensuring accurate BP measurements

Abstract: Accurate BP measurements are vital for determining appropriate medication and treatment regimens. This article describes a quality improvement project to increase compliance with the American Heart Association's guidelines for BP measurement.

Cited by 3 publications

References 13 publications

Exploring the accuracy and precision of BP measurements

Exploring the accuracy and precision of BP measurements

Factors Overlooked in Blood Pressure Measurement: The Effect of Back, Feet and Arm Support

Back to Basics: Improving the Quality of Blood Pressure Measurement

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