Key result
Dissemination of a clinical policy on hypertension to emergency physicians did not improve blood pressure reassessment (37% vs 33%) or referral rates (7% vs 13%) for ED patients.
Why the study?
Does dissemination of the ACEP clinical policy on hypertension improve blood pressure reassessment and referral rates in ED patients with elevated blood pressure?
Population
779 adult patients discharged from the ED with triage SBP ≥140 mm Hg or DBP ≥90 mm Hg, excluding those with…
Comparison
Dissemination of the American College of… vs Pre-dissemination phase
Design
Cohort, ED staff were blinded to the investigation
Follow-up
within two weeks (post-policy dissemination review)
Authors
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Guideline dissemination alone may not improve ED hypertension metrics; leaves open whether active implementation strategies can change practice.
Does dissemination of the ACEP clinical policy on hypertension improve blood pressure reassessment and referral rates in ED patients with elevated blood pressure?
Absolute Event Rate: 37% vs 33%
Dissemination of clinical guidelines alone is insufficient to change emergency physician practice regarding blood pressure reassessment and referral for asymptomatic elevated blood pressure.
Lehrmann et al. (2007) studied Hypertension (n=779). Dissemination of the American College of Emergency Physicians clinical policy on hypertension vs. Pre-policy dissemination was evaluated on Blood pressure reassessment. Dissemination of a clinical policy on hypertension to emergency physicians did not improve blood pressure reassessment (37% vs 33%) or referral rates (7% vs 13%) for ED patients.
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