ArticleJournal of primary care & community health
Barriers to Accurate Blood Pressure Measurement in the Medical Office.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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The trial behind it
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Who cites it
27 citing papers in PubMed.
- Using web-based training to improve accuracy of blood pressure measurement among health care professionals: A randomized trial.Journal of clinical hypertension (Greenwich, Conn.) · 2022Trial
- Effectiveness of a targeted and tailored pharmacist-led intervention to improve adherence to antihypertensive drugs among patients with type 2 diabetes in Indonesia: A cluster randomised controlled trial.British journal of clinical pharmacology · 2021Trial
- Curriculum Integration of an Interactive Blood Pressure Measurement Module to Improve Healthcare Students' Knowledge, Confidence, and Skills.Journal of clinical hypertension (Greenwich, Conn.) · 2026Article
- Measuring blood pressure accurately.Australian prescriber · 2026Review
- Remote Blood Pressure Monitoring: A Comprehensive Review.American journal of hypertension · 2026Review
- Evidence-Based, Streamlined Approach to Measure Blood Pressure in Primary Care Settings.Hypertension (Dallas, Tex. : 1979) · 2026Review
- Blood pressure measurement technique in clinical practice in the NHS Greater Glasgow and Clyde.Journal of human hypertension · 2025Article
- A deep learning digital biomarker to detect hypertension and stratify cardiovascular risk from the electrocardiogram.NPJ digital medicine · 2025Article
- Adherence to proper blood pressure measurements among interns at the university of Gondar specialized referral hospital.Frontiers in cardiovascular medicine · 2025Article
- Predictors of blood pressure reductions with a second measurement in individuals with uncontrolled blood pressure in primary care clinics.Vascular medicine (London, England) · 2024Article
- Absolute cardiovascular risk assessment using 'real world' clinic blood pressures compared to standardized unobserved and ambulatory methods: an observational study.Hypertension research : official journal of the Japanese Society of Hypertension · 2024Observational
- Association of Integrase Strand Transfer Inhibitor-Based Antiretroviral Therapy With Blood Pressure and Sustained Hypertension in People With Human Immunodeficiency Virus.American journal of hypertension · 2024Article
- Intelligent Assist Office Blood Pressures (IOBP) versus awake ambulatory monitoring and conventional auscultatory office readings in Chinese primary medical institutions.Hypertension research : official journal of the Japanese Society of Hypertension · 2024Article
- Quality in screening and measuring blood pressure in China's primary health care: a national cross-sectional study using unannounced standardized patients.The Lancet regional health. Western Pacific · 2024Article
- Blood pressure variability supersedes heart rate variability as a real-world measure of dementia risk.Scientific reports · 2024Article
- Screening for hypertension in adults: protocol for evidence reviews to inform a Canadian Task Force on Preventive Health Care guideline update.Systematic reviews · 2024Article
- Assessment of blood pressure measurement technique amongst nurses working at a tertiary care cardiac center.PloS one · 2024Article
- Leveraging Electronic Health Records to Construct a Phenotype for Hypertension Surveillance in the United States.American journal of hypertension · 2023Article
- Comparison of outcomes for routine versus American Heart Association-recommended technique for blood pressure measurement (CORRECT BP): a randomised cohort study.EClinicalMedicine · 2023Article
- International Consensus on Standardized Clinic Blood Pressure Measurement - A Call to Action.The American journal of medicine · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the high prevalence of blood pressure (BP) measurement errors in the outpatient setting, little is known about why primary care clinics struggle to achieve consistently accurate BP measurements in routine practice. We investigated barriers affecting measurement of BP for adult patients in primary care.
methodsWe conducted a qualitative evaluation in 6 adult primary care clinics. BP measurement was observed during 54 routine patient encounters. Six managers completed semistructured interviews and 18 clinical staff members participated in focus group discussions. We used an inductive, data-driven approach to identify and organize findings into cohesive, overarching themes describing factors affecting BP measurement.
resultsObserved errors in BP measurement spanned the entire spectrum of steps required to obtain BP properly. Barriers to proper BP measurement were related to staff knowledge and behavior (inadequate knowledge, training, and feedback); workflow constraints (need to multitask, inadequate time); and equipment issues (BP monitors, seating). Patient characteristics and behavior also affected BP measurement.
conclusionsCorrect measurement of BP is affected by a wide range of factors and is challenging to accomplish consistently in primary care. These findings may inform the design of performance improvement programs to maximize the quality of BP measurement in the outpatient setting.
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