Elevated Blood Pressure Identification and Treatment

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Team ID: 
1002
College / Administrative Unit: 
Student Affairs
Date Started: 
October 2011
Objective: 
To determine if the nursing staff is identifying patients with hypertension and then alerting the attending clinician. For this study hypertension is defined by a systolic measurement greater or equal to 140 and a diastolic measurement greater or equal to 90 and involves all patients seen at UHS.

It is important to identify and treat hypertension because uncontrolled high blood pressure increases the patient’s risk of serious health problems, including heart attack and stroke.
Desired Results: 

The goal of the QI study is 95% complete identification of patients with a systolic measurement greater or equal to 140 and a diastolic measurement greater or equal to 90.

Measurements will be made, analyzed and reported, once a semester in Fall 2011 and Spring 2012.

Team Update

The corrective actions include educating and informing the nursing staff of the elevated blood pressure guidelines and the correct insertion of documentation to alert the attending clinician. Verbal as well as written reminders were presented at clinical meetings, monthly team meetings and educational in-services. Nursing staff were reminded of our QI performance goal of 95 %.

A total of 518 charts were reviewed from December 2011 thru April 2012.

RESULTS : 85% -- documentation inserted to alert the attending clinician of
elevated blood pressure measurement
15% -- no documentation inserted to alert attending clinician of
elevated blood pressure measurement

Upon detailed chart review of the April 2012 encounters it was noted that the proper documentation not inserted into 10 of the 113 charts were completed by UHS Clinic Interns. If those charts are eliminated from the study the Nursing percentage of proper documentation inserted to alert the attending clinician would increase to 91%. Ongoing quality assurance will include additional instruction, verbal reminders and educational in-services to inform both the Nursing Staff and Clinic Interns in the future. The Nurse Manager will continue a monthly review of identified electronic encounters of elevated blood pressure measurements on a monthly basis.

June 8, 2012

Name: 
Nancy Lambert
Members:
  • Kathy Petroff, Leader
  • Agatha Glusko, Member
  • Marsha Neiderer, Member