Trial reportJournal of clinical hypertension (Greenwich, Conn.)2018
A bundled quality improvement program to standardize clinical blood pressure measurement in primary care.
Trial report in Journal of clinical hypertension (Greenwich, Conn.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Optimizing observer performance of clinic blood pressure measurement: a position statement from the Lancet Commission on Hypertension Group.Journal of hypertension · 2019Guideline
- Comparison of automated clinical and research blood pressure measurements: Implications for clinical practice and trial design.Journal of clinical hypertension (Greenwich, Conn.) · 2018Trial
- A bundled quality improvement program to standardize clinical blood pressure measurement in primary care.Journal of clinical hypertension (Greenwich, Conn.) · 2018Trial
- Evidence-Based, Streamlined Approach to Measure Blood Pressure in Primary Care Settings.Hypertension (Dallas, Tex. : 1979) · 2026Review
- Article
- Review
- Assessment of blood pressure measurement technique amongst nurses working at a tertiary care cardiac center.PloS one · 2024Article
- International Consensus on Standardized Clinic Blood Pressure Measurement - A Call to Action.The American journal of medicine · 2023Article
- Article
- Leveraging Implementation Science for Cardiovascular Health Equity: A Scientific Statement From the American Heart Association.Circulation · 2022Review
- Digit Preference in Office Blood Pressure Measurements, United States 2015-2019.American journal of hypertension · 2021Article
- The RICH LIFE Project: A cluster randomized pragmatic trial comparing the effectiveness of health system only vs. health system Plus a collaborative/stepped care intervention to reduce hypertension disparities.American heart journal · 2020Article
- Unattended automated office blood pressure measurement: Time efficiency and barriers to implementation/utilization.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Blood Pressure Measurement: A KDOQI Perspective.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020Review
- [Optimizing observer performance of clinic blood Pressure measurement: a position statement from the Lancet Commission on Hypertension GroupOtimização do desempenho do observador na medição clínica da pressão arterial: posicionamento do Grupo daRevista panamericana de salud publica = Pan American journal of public health · 2020Article
- Automated Office-Based Blood Pressure Measurement: an Overview and Guidance for Implementation in Primary Care.Current hypertension reports · 2019Review
- Blood Pressure Assessment in Adults in Clinical Practice and Clinic-Based Research: JACC Scientific Expert Panel.Journal of the American College of Cardiology · 2019Review
- Reducing Cardiovascular Disparities Through Community-Engaged Implementation Research: A National Heart, Lung, and Blood Institute Workshop Report.Circulation research · 2018Review
- Improving Blood Pressure Screening in Neonatal Follow-up Clinic: A Quality Improvement Initiative.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
We evaluated use of a program to improve blood pressure measurement at 6 primary care clinics over a 6-month period. The program consisted of automated devices, clinical training, and support for systems change. Unannounced audits and electronic medical records provided evaluation data. Clinics used devices in 81.0% of encounters and used them as intended in 71.6% of encounters, but implementation fidelity varied. Intervention site systolic and diastolic blood pressure with terminal digit "0" decreased from 32.1% and 33.7% to 11.1% and 11.3%, respectively. Improvement occurred uniformly, regardless of sites' adherence to the measurement protocol. Providers rechecked blood pressure measurements less often post-intervention (from 23.5% to 8.1% of visits overall). Providers at sites with high protocol adherence were less likely to recheck measurements than those at low adherence sites. Comparison sites exhibited no change in terminal digit preference or repeat measurements. This study demonstrates that clinics can apply a pragmatic intervention to improve blood pressure measurement. Additional refinement may improve implementation fidelity.
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.