4 great ways BP -Measurement goes wrong and how they can be tackled (2024)

Accurate and reliable blood pressure measurement is critical of the correct diagnosis and handling of hypertension.Journal of Hypertension.To understand how BP measurements go wrong and how they can tackle them, the diagnosis and control of hypertension can improve.

Unfortunately, BP measurements are often carried out suboptimally in clinical practice, which can lead to errors that change the decisions of management in 20% to 45% of the cases inappropriate., MD and Gregory D. Wozniak, PhD, vice president of results analyzes at AMA.

"Many measurement errors can be minimized by the correct preparation of the patient and standardized techniques. Valid semi-automated or automated cuffs must be used instead of auscultation to simplify the measurement and prevent errors of observers," "Consensus -documentsParticipation.

The consensus document quotes various causes of inaccuracy when measuring.

There are cases where the BP measuring accuracy is influenced by the habits or behavior of patients.Until an error in a systolic BP up to 33 mm HG and the white-o-out effect can have an error of a maximum of 26 mm HG.

It is important for the patient to rest comfortably in a quiet environment for five minutes in a chair.

Inaccuracies in BP measurement can also occur as a result of errors with regard to the procedure.The patient's legs crossed on the knees or when talking occurs during BP measurement.

AMA has developed online tools and sources that were made using the latest evidence-based information to support doctors to manage the high BP.Dise sources of their patients are available to all doctors and health systems as part ofGoals: BP™, a national initiative led by AMA and the American Heart Association.

If a cuff is too small or too large, mistakes can occur.

"An important problem with automated devices is that many are not clinically validated for measurement," says the explanation.

The process of clinical validation includes the performance of a protocol-based comparison using different measurements against blind, two-observer Auscultatory reference standard.Can for more accuracyvalidated devicesrequired.

A common error in the clinical setting is not to contain a five -minute rest period.

Time limits are also quite common for relaxed measurements.Coat effect in action.

The doctor, nurse or other care provider is responsible for performing the right BP measurements, while - to the great extent ensure that all possible causes of inaccuracy are avoided.

Educational programs can lead to short-term success in BP lectures.This can be web -based or personal.Inside Time may be shorter web -based programs because of their practical benefits, lower costs and scalability.

Quality improvement programs that combine the use of automated BP measurements from the office with training for medical and care team about the right measurements, as well as advice on improving the clinical workflow, can also improve lectures.

Other tips for tackling hypertension are available viaAMA -Card BP™, a leading program for evidence-based quality improvement that offers a clear path to important, sustainable improvements in BP control.10% increase in BP controlIn six months of persistent results.