Initial Blood Pressure at Hospital Arrival

Specifications Manual for Joint Commission National Quality Measures (v2016B1)

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Release Notes:
Data Element
Version 2016B1

Data Element Name:

Initial Blood Pressure at Hospital Arrival

Collected For:

CSTK-05, CSTK-08,

Definition:

Documentation of the first blood pressure (systolic and diastolic values) obtained prior to or after hospital arrival. Systolic blood pressure is the amount of pressure that blood exerts on vessels while the heart is beating. In a blood pressure reading (e.g., 120/80), it is the number on the top. The diastolic blood pressure number or the bottom number indicates the pressure in the arteries when the heart rests between beats. A normal diastolic blood pressure number is less than 80.

Suggested Data Collection Question:

What is the first blood pressure obtained prior to or after hospital arrival?

Format:

Length:	7
Type:	Alphanumeric
Occurs:	1

Allowable Values:

BP = systolic and diastolic blood pressure values
UTD = Unable to Determine

Notes for Abstraction:

To determine the value for this data element, review blood pressure readings obtained prior to and after hospital arrival.
Select the earliest documented blood pressure regardless of where it was done. Blood pressure readings obtained and documented by EMS, a transferring hospital, or your hospital are acceptable. The first documented blood pressure should be used.

Suggested Data Sources:

History and physical
Nursing flow sheet
Progress notes
Transfer sheet
Admitting note
Ambulance record
Consultation form/note
Emergency room records
EMS records
Nursing assessment

Additional Notes:

Excluded Data Sources:

Discharge summary

Guidelines for Abstraction:

Inclusion	Exclusion
None	None

Initial Blood Pressure at Hospital Arrival

Specifications Manual for Joint Commission National Quality Measures (v2016B1)
Discharges 01-01-17 (1Q17) through 06-30-17 (2Q17)