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城市基层医疗中心就诊患者血压测量的标准化:一项质量改进举措。

Standardisation of Blood Pressure Measurement Among Patients Attending an Urban Primary Health Centre: A Quality Improvement Initiative.

作者信息

Nongkynrih Baridalyne, Kaur Ravneet, Muthukumarasamy Thamizharuvi, Patil Nikhil, Chandra Ankit, Selva Das Ananda

机构信息

Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, IND.

出版信息

Cureus. 2024 Nov 16;16(11):e73811. doi: 10.7759/cureus.73811. eCollection 2024 Nov.

Abstract

Accurate blood pressure (BP) measurement is essential for detecting, diagnosing, treating, and monitoring hypertensive individuals. This qualitative improvement initiative study is aimed at improving adherence to standardised BP measurement protocols in an urban primary health centre in Delhi, India. This study was conducted using a checklist based on World Health Organisation (WHO) guidelines. Baseline assessment revealed low adherence to standardised procedures. Interventions included crowd management, infrastructure and equipment, standard operating procedures (SOPs) development, and staff training. After two plan-do-study-act (PDSA) cycles conducted within six weeks, the adherence to standardised BP measurement significantly increased from 0.4% (n=1) to 86.2% (n=119). This study highlights the potential for targeted quality improvement in healthcare delivery.

摘要

准确测量血压对于检测、诊断、治疗和监测高血压患者至关重要。这项定性改进倡议研究旨在提高印度德里一家城市初级卫生中心对标准化血压测量方案的依从性。本研究使用了一份基于世界卫生组织(WHO)指南的检查表进行。基线评估显示对标准化程序的依从性较低。干预措施包括人群管理、基础设施和设备、制定标准操作程序(SOP)以及员工培训。在六周内进行了两个计划-实施-研究-改进(PDSA)循环后,对标准化血压测量的依从性从0.4%(n = 1)显著提高到86.2%(n = 119)。这项研究凸显了在医疗服务中进行有针对性的质量改进的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337c/11648576/352ee5883d87/cureus-0016-00000073811-i01.jpg

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