260EMF Electronic Health Record Innovations to Improve Referral for Asymptomatic Hypertension in the Emergency Department

Emergency department (ED) providers often overlook asymptomatic hypertension (HTN) in the ED. Clinical decision support can help improve adherence to the emergency nursing and emergency medicine (ACEP) clinical policy for asymptomatic HTN. 1) Determine the efficacy of an electronic health record clinical reminder, on nursing (RN) blood pressure (BP) reassessment for patients who were found to be hypertensive on initial ED triage vital signs; 2) compare the relative efficacy of an ACEP guideline-initiated automated referral on improvement in BP management, as measured by HTN awareness, HTN treatment, and adherence to follow-up; and 3) explore qualitatively, barriers and facilitators to follow-up using two open-ended questions.

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