Prospective evaluation of a closed-loop, computerized reminder system for pneumococcal vaccination in the emergency department.
The Emergency Department is a suitable but challenging environment to implement a sustainable pneumococcal vaccination program. To increase vaccination rates for patients > or equal to 65 years old, we prospectively evaluated a closed-loop informatics approach over a 6-week study period. Among the 572 candidate patients, 284 were up-to-date with vaccination, 187 patients refused vaccination, 65 physicians declined to order the vaccine, and 28 patients received the vaccine during the ED visit. The informatics approach increased vaccination rate from a baseline of 49.8% to 54.9% (p < 0.01).
Dexheimer
Judith W
JW
Dept. of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
Jones
Ian
I
Waitman
Russ
R
Talbot
Thomas
T
Gregg
William
W
Aronsky
Dominik
D
D000368:Aged; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006751:Hospital Information Systems; D006801:Humans; D016347:Medical Records Systems, Computerized; D022242:Pneumococcal Vaccines; D011446:Prospective Studies; D017010:Reminder Systems; D014611:Vaccination / Q000706:statistics & numerical data
D022242:Pneumococcal Vaccines