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Ambulatory Blood Pressure Monitoring: Quality Assurance

Ambulatory Blood Pressure Monitoring: Quality Assurance Abstract I read with great interest a recent commentary by Moser1 published in the August 8, 1994, issue of the ARCHIVES, in which he discusses ambulatory blood pressure monitoring as a possible strategy in containing cost of care while maintaining quality of care in the management of hypertension.1 Moser states that "approximately 15% to 20% of the recordings are unreadable or unusable." This estimate is too high. Our institution has a quality control program that separately reviews in detail a randomly selected 15% of all 24-hour ambulatory blood pressure studies done for clinical purposes. All these studies are begun with careful validation and detailed instructions to the patient, eg, to hold the arm still and to stop activities when inflation of the cuff begins. For the calendar years 1991 through 1993, 114 of the studies were reviewed for quality control. A total of 17 988 blood pressure measurements were References 1. Moser M. Can the cost of care be contained and quality of care maintained in the management of hypertension? Arch Intern Med . 1994;154:1665-1672.Crossref 2. National High Blood Pressure Education Program Working Group. Report on ambulatory blood pressure monitoring. Arch Intern Med . 1990;150:2270-2280.Crossref 3. Fifth Report of the Joint National Committee on the Detection, Evaluation and Treatment of High Blood Pressure (JNC-V). Arch Intern Med . 1993;153: 154-183.Crossref 4. Sheps SG, Pickering TG, White WB, et al. Ambulatory blood pressure monitoring. J Am Coll Cardiol . 1994;23:1511-1513.Crossref 5. Indirect ambulatory blood pressure monitoring: an international conference. 1-3 March 1990, Berlin, Germany. J Hypertens . 1990;8( (suppl) ):S1-S140. 6. Second International Consensus meeting on 24-hour ambulatory blood pressure monitoring. J Hypertens . 1991;9( (suppl 8) ):S52-S56.Crossref 7. Association for the Advancement of Medical Instrumentation (AAMI). Electronic or Automated Sphygmomanometer Standard . Arlington, Va: AAMI; 1992. 8. White WH, Berson AS, Robbins C, et al. National standard for measurement of resting and ambulatory blood pressures with automated sphygmomanometers. Hypertension . 1993;21:504-509.Crossref 9. O'Brien E, Petrie J, Littler W, et al. The British Hypertension Society protocol for the evaluation of automated and semi-automated blood pressure measuring devices with special reference to ambulatory systems. J Hypertens . 1990; 8:607-619.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Ambulatory Blood Pressure Monitoring: Quality Assurance

Archives of Internal Medicine , Volume 155 (5) – Mar 13, 1995

Ambulatory Blood Pressure Monitoring: Quality Assurance

Abstract

Abstract I read with great interest a recent commentary by Moser1 published in the August 8, 1994, issue of the ARCHIVES, in which he discusses ambulatory blood pressure monitoring as a possible strategy in containing cost of care while maintaining quality of care in the management of hypertension.1 Moser states that "approximately 15% to 20% of the recordings are unreadable or unusable." This estimate is too high. Our institution has a quality control program that separately...
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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1995.00430050128020
Publisher site
See Article on Publisher Site

Abstract

Abstract I read with great interest a recent commentary by Moser1 published in the August 8, 1994, issue of the ARCHIVES, in which he discusses ambulatory blood pressure monitoring as a possible strategy in containing cost of care while maintaining quality of care in the management of hypertension.1 Moser states that "approximately 15% to 20% of the recordings are unreadable or unusable." This estimate is too high. Our institution has a quality control program that separately reviews in detail a randomly selected 15% of all 24-hour ambulatory blood pressure studies done for clinical purposes. All these studies are begun with careful validation and detailed instructions to the patient, eg, to hold the arm still and to stop activities when inflation of the cuff begins. For the calendar years 1991 through 1993, 114 of the studies were reviewed for quality control. A total of 17 988 blood pressure measurements were References 1. Moser M. Can the cost of care be contained and quality of care maintained in the management of hypertension? Arch Intern Med . 1994;154:1665-1672.Crossref 2. National High Blood Pressure Education Program Working Group. Report on ambulatory blood pressure monitoring. Arch Intern Med . 1990;150:2270-2280.Crossref 3. Fifth Report of the Joint National Committee on the Detection, Evaluation and Treatment of High Blood Pressure (JNC-V). Arch Intern Med . 1993;153: 154-183.Crossref 4. Sheps SG, Pickering TG, White WB, et al. Ambulatory blood pressure monitoring. J Am Coll Cardiol . 1994;23:1511-1513.Crossref 5. Indirect ambulatory blood pressure monitoring: an international conference. 1-3 March 1990, Berlin, Germany. J Hypertens . 1990;8( (suppl) ):S1-S140. 6. Second International Consensus meeting on 24-hour ambulatory blood pressure monitoring. J Hypertens . 1991;9( (suppl 8) ):S52-S56.Crossref 7. Association for the Advancement of Medical Instrumentation (AAMI). Electronic or Automated Sphygmomanometer Standard . Arlington, Va: AAMI; 1992. 8. White WH, Berson AS, Robbins C, et al. National standard for measurement of resting and ambulatory blood pressures with automated sphygmomanometers. Hypertension . 1993;21:504-509.Crossref 9. O'Brien E, Petrie J, Littler W, et al. The British Hypertension Society protocol for the evaluation of automated and semi-automated blood pressure measuring devices with special reference to ambulatory systems. J Hypertens . 1990; 8:607-619.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Mar 13, 1995

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