title: Prospective evaluation of a closed-loop, computerized reminder system for pneumococcal vaccination in the emergency department.
abstract: 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).
authors.affiliation: Dept. of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
authors.forename: Judith W
authors.initials: JW
authors.lastname: Dexheimer
authors.forename: Ian
authors.initials: I
authors.lastname: Jones
authors.forename: Russ
authors.initials: R
authors.lastname: Waitman
authors.forename: Thomas
authors.initials: T
authors.lastname: Talbot
authors.forename: William
authors.initials: W
authors.lastname: Gregg
authors.forename: Dominik
authors.initials: D
authors.lastname: Aronsky
mesh_terms: 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
chemical_list: D022242:Pneumococcal Vaccines