scholarly journals Multifaceted strategies to improve blood pressure control in a primary care clinic: A quality improvement project

2020 ◽  
Vol 7 ◽  
pp. 100060 ◽  
Author(s):  
Cirous Sadeghi ◽  
Hassan A. Khan ◽  
Gregory Gudleski ◽  
Jessica L. Reynolds ◽  
Smita Y. Bakhai
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Quality Improvement ◽  
Blood Pressure Control ◽  
Primary Care Clinic ◽  
Pressure Control ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Care Clinic ◽  
Improve Blood Pressure Control

scholarly journals Prescribing patterns of antihypertensive medications and blood pressure control among hypertensive patients in a primary care setting in Malaysia

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Jun-Ming Ng ◽  
Kok Pim Kua ◽  
Shaun Wen Huey Lee
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Blood Pressure Control ◽  
Primary Care Clinic ◽  
Care Facility ◽  
Pressure Control ◽  
Prescribing Patterns ◽  
Antihypertensive Medications ◽  
Care Clinic ◽  
Utilisation Data

Aims: This study aims to describe the prescribing patterns of antihypertensive medications and short term outcomes of these patients, defined as repeat blood pressure measurements by a medical professional within 6 months, in a primary care facility in Puchong, located within the state of Selangor in Malaysia. Methods: This study was a cross-sectional, retrospective analysis of patients with essential hypertension, aged 18 and above, with blood pressure recorded at least twice within a 6-month period in an urban primary care clinic in Malaysia. Patients with history of co-morbidities were excluded. The prescribing patterns of antihypertensive medications and proportion of patients who achieved blood pressure control of less than 140/90 mmHg were ascertained. Results: A total of 200 prescriptions were analysed, including 52.5% females taking a mean of 1.7 (0.7) antihypertensive medications with a mean age of 57.9 (12.4) years. Most of the patients were prescribed either a single medication (n=90, 45.0%) or two medications (n=90; 45.0%) to control their blood pressure. Only 20 patients (10.0%) were prescribed three antihypertensive medications. A total of 127 (63.5%) patients met the blood pressure target of less than 140/90 mmHg. All participants exhibited a significant drop in systolic blood pressure, reducing from 143.0 (16.0) mmHg at baseline to 135.3 (14.8) mmHg at the end of 6 months (p<0.001). Diastolic blood pressure also decreased significantly from 83.5 (11.7) mmHg at baseline to 79.0 (10.2) mmHg at the end of 6 months (p<0.001). The choice of antihypertensive medications by the prescribers was compliant with the hypertension guidelines of Malaysia. Conclusion: The most commonly prescribed antihypertensive class was calcium channel blockers. Significant reduction in blood pressure was observed in patients from baseline to the follow-up visit. Further research of larger sample size and longer monitoring period is necessary to provide more robust epidemiology and drug utilisation data.

scholarly journals Abstract PS1-41: A Diabetes Quality Improvement Project at a Rural Primary Care Clinic

2008 ◽  
Vol 6 (3-4) ◽  
pp. 140-140
Author(s):  
G. A. Bloch ◽  
T. J. Ford ◽  
M. Hodgson ◽  
P. McIntyre ◽  
M. Sheehan ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Primary Care Clinic ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Care Clinic ◽  
Rural Primary Care

scholarly journals Effect of Home Telemonitoring on Glycemic and Blood Pressure Control in Primary Care Clinic Patients with Diabetes

2014 ◽  
Vol 20 (3) ◽  
pp. 199-205 ◽  
Author(s):  
Bonnie J. Wakefield ◽  
Richelle J. Koopman ◽  
Lynn E. Keplinger ◽  
Marilee Bomar ◽  
Beth Bernt ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Blood Pressure Control ◽  
Primary Care Clinic ◽  
Pressure Control ◽  
Care Clinic ◽  
Home Telemonitoring ◽  
Patients With Diabetes

Examining the Feasibility of a Simple Intervention to Improve Blood Pressure Control for Primary Care Patients

2016 ◽  
Vol 31 (4) ◽  
pp. 291-295
Author(s):  
Giang T. Nguyen ◽  
Heather A. Klusaritz ◽  
Alison O’Donnell ◽  
Elise M. Kaye ◽  
Heather F. de Vries McClintock ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Improve Blood Pressure Control ◽  
Primary Care Patients

scholarly journals Improving the quality of care for patients with hypertension in Moshupa District, Botswana: Quality improvement cycle

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Cathy Kande ◽  
Robert Mash
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Blood Pressure Control ◽  
Catchment Area ◽  
Pressure Control ◽  
Prevalence Studies ◽  
Quality Of Primary Care

Background: Although there are no prevalence studies on hypertension in Botswana, this condition is thought to be common and the quality of care to be poor.Aim: The aim of this project was to assess and improve the quality of primary care forhypertension.Setting: Moshupa clinic and catchment area, Botswana.Methods: Quality improvement cycle.Results: Two hundred participants were included in the audit. Sixty-eight per cent were women with a mean age of 55 years. In the baseline audit none of the target standards were met. During the re-audit six months later, six out of nine structural target standards, five out of 11 process target standards and one out of two outcome target standards were achieved. Statistically-significant improvement in performance (p < 0.05) was shown in 10 criteria although the target standard was not always met. In the re-audit, the target of achieving blood pressure control (< 140/90) in 70% of patients was achieved.Conclusion: The quality of care for hypertension was suboptimal in our setting. Simple interventions were designed and implemented to improve the quality of care. These interventions led to significant improvement in structural and process criteria. A corresponding significant improvement in the control of blood pressure was also seen.

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