Implem provement strategies: Barriers and potential solutions

Judith M.E. Walsh, Vandana Sundaram, Kathryn McDonald, Douglas K. Owens, Mary Kane Goldstein

Research output: Contribution to journalReview articlepeer-review

39 Scopus citations


Many quality improvement strategies have focused on improving blood pressure control, and these strategies can target the patient, the provider, and/or the system. Strategies that seem to have the biggest effect on blood pressure outcomes are team change, patient education, facilitated relay of clinical information, and promotion of self-management. Barriers to effective blood pressure control can affect the patient, the physician, the system, and/or "cues to action." We review the barriers to achieving blood pressure control and describe current and potential creative strategies for optimizing blood pressure control. These include home-based disease management, combined patient and provider education, and automatic decision support systems. Future research must address which components of quality improvement interventions are most successful in achieving blood pressure control.

Original languageEnglish (US)
Pages (from-to)311-316
Number of pages6
JournalJournal of Clinical Hypertension
Issue number4
StatePublished - Apr 2008
Externally publishedYes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine


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