21/05/2026
We are sharing and celebrating the work from a quality improvement project from Dr Ghuncha Kamran, Dr Khine OO Mon, Dr Thant Nyein, Dr Sujan Rai who applied the Plan, Do, Study, Act cycle to drive meaningful change in clinical practice. ๐
Their project focused on improving the accurate measurement of lying and standing blood pressure in elderly patients to better identify orthostatic hypotension - a common but often overlooked cause of dizziness, falls, and hospital admissions.
Their aim was to address gaps in current practice and ensure a consistent, correct approach to blood pressure measurement during hospital admissions, ultimately improving diagnosis and management of orthostatic hypotension within a 3-month period.
To achieve this, a range of practical interventions were introduced:
๐ผ๏ธ Clear instructional posters displayed across wards
๐ฃ๏ธ Teaching sessions and verbal reminders for nursing staff on patient arrival
๐ Digital prompts within the Emergency Department and Care of the Elderly wards
๐ป The creation of a simplified and more accessible Electronic Patient Record (EPR) order for blood pressure measurement
The results from their sample of patients included:
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26% increase in number of lying & standing blood pressure taken on admission
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21% increase in number of lying & standing blood pressure taken once patient admitted to elderly ward
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27% increase on complete assessment in proper way of measuring lying & standing blood pressure
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81% increase in blood pressure measurement EPR orders placed by medical team
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10% increase in number hypotension cases identified
These results highlight how simple, targeted interventions can improve clinical outcomes. ๐ฏ
Thank you to the team for leading such an impactful piece of work and contributing to better care for our older patients. ๐