What does this research mean for the field?

Blood pressure drops significantly from the first reading to subsequent readings, and measurement variability remains within three standard deviation quality control limits when the difference between consecutive second and third readings does not exceed 13 mmHg systolic and 11 mmHg diastolic. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 1994Journal of the American Academy of Nurse Practitioners

Application of Control Chart Statistics to Blood Pressure Measurement Variability in the Primary Care Setting

Q: What is the clinical evidence from this study?

Population: Celiac disease (n=43). Intervention: Standardized concurrent follow-up clinic with a pediatric GI provider and dietician vs. Non-standardized follow-up care. Primary outcome: Mean time from celiac disease diagnosis to dietary consultation (33% reduction).

View Full Paper

Ask AI

Bookmark

Key result

Standardized celiac follow-up cuts time to dietary consultation by ~33%.

33% reduction
n=43

Why the study?

Interpreting variable blood pressure measurements under uncertain quality control conditions in primary care is a frequently frustrating clinical problem.

Population

Adults in an academic nursing center

Comparison

Blood pressure measurement variability before and after pilot study to eliminate examiner, equipment, and time interval variability

Design

Application of Shewhart Control Chart analysis in an observational study

Authors

FNFrances E. Nelson MHMarilyn K. Hart RHRobert F. Hart

Discussion

Member takes

Implication

May expedite dietary counseling after celiac diagnosis; leaves open whether this improves adherence or outcomes.

PICO

Population

43 pediatric patients with newly diagnosed celiac disease evaluated before and after a quality improvement initiative at a single US institution.

Intervention / Comparator

Standardized concurrent follow-up clinic with a pediatric GI provider and dietician vs Non-standardized follow-up care

Primary Outcome

Mean time from celiac disease diagnosis to dietary consultation — 33% reduction

Main Result

Effect estimate: 33% reduction

Absolute Event Rate: 20% vs 30%

Limitations

Single-institution study, which may limit generalizability.
Only providers participated in the conjoint analysis, so patient and parent preferences were not evaluated.
Fractional factorial design limited the analysis to only 4 attributes.
Unknown whether the improved reliability of consultation resulted in better clinical outcomes, dietary adherence, or patient/parent satisfaction.

Cite This Study

Nelson et al. (1994) studied Celiac disease (n=43). Standardized concurrent follow-up clinic with a pediatric GI provider and dietician vs. Non-standardized follow-up care was evaluated on Mean time from celiac disease diagnosis to dietary consultation (33% reduction). A standardized follow-up care process based on conjoint analysis decreased the mean time from celiac disease diagnosis to dietary consultation by 33%, from 30 days to 20 days.

synapsesocial.com/papers/6ac4788e911aa2f2ff4dd4a5 https://doi.org/10.1111/j.1745-7599.1994.tb00889.x

View Full Paper

Ask AI

Bookmark

Application of Control Chart Statistics to Blood Pressure Measurement Variability in the Primary Care Setting

Discussion

Member takes

Implication

PICO

Main Result

Limitations

Cite This Study

Application of Control Chart Statistics to Blood Pressure Measurement Variability in the Primary Care Setting

Discussion

Member takes

Implication

PICO

Main Result

Limitations

Cite This Study

Also Consider

Also Consider